Please ensure that all information on this form is completed accurately. Failure to submit the correct details will result in a delay in payment until the form is properly completed and submitted. If the information is found to be "inaccurate" in the near future, legal actions will be taken accordingly.

Your prompt attention to this matter is appreciated to avoid any disruptions in payment processing.

Direct Deposit Agreement Form

Authorization Agreement

I hereby authorize AK Staffing LLC to initiate automatic deposits to my account at the financial institution named below. I also authorize AK Staffing LLC to make withdrawals from this account in the event that a credit entry is made in error.

Further, I agree not to hold AK Staffing LLC responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account.

This agreement will remain in effect until AK Staffing LLC receives a written notice of cancellation from me or my financial institution, or until I submit a new direct deposit form to the Admin Department.

Name of Financial Institution:

Routing Number:

Account Number:

Confirm Account Number:

Account Type:

Checking

Savings

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Birthday

Month

Day

Year

Social Security Number

Signature

Signature field is empty.

Direct Deposit Agreement Form

AK STAFFING AGENCY Privacy Policy Terms and Conditions

AK STAFFING AGENCY

Privacy Policy

Terms and Conditions