Direct Deposit Information

  • I hereby authorize PayMetrix HR to deposit by Electronic Funds Transfer (EFT), payment owed to me by my employer and, if necessary, debit entries and adjustment for any deposits deposited electronically in error. PayMetrix HR shall deposit the payments into the financial institution and account designated above. I recognize that if I fail to provide complete and accurate information on this authorization form, the processing of the form may be delayed or my payments may be erroneously transferred electronically.

    I consent to and agree to comply with the National Automated Clearing House Rules and Regulations and PayMetrix HR’s rules about electronic transfers as they exist on the date of my signature on this form or as subsequently amended or appealed.

    By hitting the Submit Button, I confirm that the information provided above is accurate. Any incorrect information can result in incorrect reporting of payments and required payroll related reporting for myself and my employer.