Direct Deposit

Employee Direct Deposit Authorization

This form must be completed and electronically signed by employees of Triangle Aquatics using automatic deposit of paychecks. Employees should attach a .jpeg or .pdf file containing the image of a VOIDED check for their direct deposit account. This is to help verify their account numbers and bank routing numbers.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Bank Name *

Account Type *

Checking Savings

Bank Routing Number (ABA number) *

Account Number *

Upload photo of VOIDED check *

Max file size: 20MB

This authorizes Triangle Aquatics, LLC to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method to my (our) account indicated and to other accounts I (we) identify in the future. This authorizes the financial institution holding the Account to post all such entries. I agree that the ACH transactions authorized herein shall comply with all applicable U.S. Law. This authorization will be in effect until the Company receives a written termination notice from myself and has a reasonable opportunity to act on it. Electronic Signature: *

Submit