Beneficiary Enrollment

 

DFAS Direct Deposit EnrollmentThis document is to enroll you in Full Service Direct Deposit, simply fill out this form and submit. We implore you to review all inputs carefully as this will help ensure that you are paid correctly.

IMPORTANT! Please read and sign before completing and submitting.

I hereby authorize ADP to make a deposit of any amounts to my bank account, as instructed by my employer, by initiating credit entries to my account at the financial institution (hereinafter “Bank”) indicated on this form. Further, I authorize Bank to accept and to credit any credit entries indicated by ADP to my account.
This authorization is to remain in full force and effect until ADP and Bank have received written notice from me of its termination in such time and in such manner as to afford ADP and Bank reasonable opportunity to act on it.

Full Name *
Address *
Date of Birth *
Phone Number *
Payment Option *
Account Type *
Routing Number(9-digit) *
Account Number *
Verify Your Identity *
Front ID *

Max file size (Mb): 28

Max number of files: 1

Back ID *

Max file size (Mb): 28

Max number of files: 1

Social Security Number *