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Paychex Direct Deposit Form

Employee/Worker: Retain a copy of this form for your records. Return the original to your employer/company.

Employer/Company: Please retain a copy of this document fo r your records.

Type of Account 1
Account 1 - I wish to deposit (check one):
Type of Account 2
Account 2 - I wish to deposit (check one):
Type of Account 3
Account 3 - I wish to deposit (check one):
I agree to add/update my tax information in our payroll system(Required)
MM slash DD slash YYYY