Payroll & Human Capital Management Solutions with Integrated Workers Compensation & Benefits for Small to Mid-Size Businesses.

Get Started Now!

Get Payroll Processing, Tax Management, Time and Attendance, and ACA Compliance Expertise.

Direct Deposit Authorization

Employee Set Up Form & Direct Deposit Authorization Agreement

I would like my wages/salary deposited to the following bank account(s):

I hereby authorize my employer, (hereinafter COMPANY), to deposit any amounts owed me by initiating credit entries to my account at the financial institution (hereinafter BANK) indicated above. Further, I authorize BANK to accept and to credit any credit entries indicated by COMPANY to my account. In the event that COMPANY deposits funds erroneously into my account, I authorize COMPANY to debit my account for an amount not to exceed the original amount of the erroneous credit. For my convenience, I request that TPG Payroll & HR Services, Inc (TPG Payroll) directly deposit my wages/salary earned from my employer, into my bank account. I understand that deposit of my earnings into my account by TPG Payroll may be an advance of funds on behalf of my employer, which is subject to the successful collection of these funds by TPG Payroll from my employer’s bank. If, within 30 days of TPG Payroll making the deposit into my account, my employer does not make available to TPG Payroll the funds that were advanced to make the deposit into my account, I authorize to charge my account to recover said advance. I agree to hold TPG Payroll harmless from loss and to indemnify it, limited to the amount of the deposit. Any dispute arising out of or in connection with this agreement, if not otherwise resolved, shall be determined by arbitration in Rancho Cucamonga, California, in accordance with the Rules of the American Arbitration Association, and it is the expressed desire of both parties that the prevailing party be awarded costs and attorney’s fees and that the award be entered as a judgment in any jurisdiction in which the non-prevailing party does business. This authorization is to remain in full force and effect until COMPANY and BANK have received written notice from me of its termination in such time and in such manner as to afford COMPANY and BANK a reasonable opportunity to act on it.