Is a voided check required?

Not always. Employers commonly request a voided check or bank letter to verify account details, but micro-deposit verification is an accepted alternative that avoids sharing a physical check.

Can the form be e-signed?

Yes. Electronic signatures are generally enforceable under the ESIGN Act (15 U.S.C. ch. 96) and UETA where adopted, provided intent, consent, attribution, and retention requirements are met.

What if the routing number is wrong?

An incorrect routing number typically causes a returned payment and bank fees; act immediately to correct the form and resubmit before the next payroll run.

How do I revoke authorization?

Provide written notice to the payer per the revocation terms on the form; allow the employer a payroll cycle to implement the change and confirm stop of deposits.

How long until deposits start?

Processing time depends on payroll schedule and verification method; micro-deposits typically need 1–3 business days to verify before live deposits begin.

Who signs for organizations?

An authorized signatory for the entity—someone with payroll or finance authority—must sign; include title or role to evidence signing authority.

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Direct Deposit Authorization Form

Direct Deposit Authorization Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

ACT Enrollment and Direct Deposit Authorization

Ohio

Bureau of Workers'
Compensation

Ohio Bureau of Workers' Compensation

Attn. Benefits Payable

P.O. Box 15429

Columbus, Ohio 43215-0429

Instructions

Attach a voided check or personal deposit slip containing the banking information and account number to your completed ACT Enrollment and Direct Deposit Authorization. We must have either a voided check or savings deposit slip to process your ACT (automatic compensation transfer) request.

Recipient/Payee

Payee (first name, middle initial, last name)

Social Security number

Claim number(s)

Account Information

Financial institution name

City

State

ZIP code

Routing transit or American Banking Association number

Account number

Account type (checking or savings)

Account holder name

I authorize BWC to begin direct deposit of my workers' compensation benefit payment(s) as indicated. I also authorize withdrawal of any funds deposited in error. This authorization will remain in full force and effect until BWC has received updated account information from me. I also agree that I will maintain current banking information. If I do not maintain current banking information, the BWC will issue me an EBT card to receive my workers' compensation benefit payments.

I agree under the terms of this agreement that deposit of my compensation payment(s) constitutes payment to me under the provisions of the Ohio Revised Code Section 4123.67. By signing this authorization, I agree that I am entitled to these benefits and will promptly notify BWC should I become employed or otherwise ineligible to receive such benefits.

If you are receiving Death Widow Benefits and have remarried please contact BWC immediately and the claim will be reviewed to determine the lump sum award to which you may be entitled.

Warning: I understand that any person, who obtains compensation from BWC or self-insuring employers by knowingly misrepresenting or concealing facts, making false statements or accepting compensation to which he/she is not entitled, is subject to felony criminal prosecution for fraud. By signing below, I certify I have read and understand the statements above and agree with these conditions.

Recipient signature

Date

Day time telephone number

BWC-0019 (9/21/2010)

A-12

What the Direct Deposit Authorization Form Does

A Direct Deposit Authorization Form is a written consent employees or payees provide to an employer or payer to permit electronic crediting of funds into a specified bank account. The form typically records the account holder name, bank routing number, account number, account type, effective date, and an authorization signature. Organizations use the document to establish payment instructions, verify ownership, and set revocation terms. When completed correctly it speeds payroll, reduces paper checks, and creates an auditable record of consent for payroll and benefits disbursements.

Why a Clear Authorization Form Matters

A precise Direct Deposit Authorization Form reduces payment errors, shortens payroll cycles, and preserves a legal record of consent. It clarifies account ownership, verification method, and revocation steps for both payer and payee.

Who Completes and Processes This Form

Proper role assignment and clear handoffs reduce processing delays and compliance risk.

Employees and contractors who provide bank details to receive paychecks or reimbursements.
Payroll and HR teams that collect, verify, and store authorizations for salary or benefit payments.
Payroll providers, accountants, and banks that perform verification and execute ACH transactions.

Step-by-step: How to Complete a Direct Deposit Authorization

Follow these four steps to collect accurate authorization and minimize processing issues.

01

Gather Documents: Collect a voided check or bank letter to confirm routing and account numbers.
02

Enter Data: Provide account holder name, routing number, account number, and account type.
03

Sign Authorization: Sign and date to authorize recurring electronic deposits and revocations.
04

Verify: Use micro-deposits or bank verification before starting live payroll deposits.

Common questions and practical answers

Answers to frequent issues when completing or processing Direct Deposit Authorization Forms.

Need help? Contact support

Is a voided check required?
Not always. Employers commonly request a voided check or bank letter to verify account details, but micro-deposit verification is an accepted alternative that avoids sharing a physical check.
Can the form be e-signed?
Yes. Electronic signatures are generally enforceable under the ESIGN Act (15 U.S.C. ch. 96) and UETA where adopted, provided intent, consent, attribution, and retention requirements are met.
What if the routing number is wrong?
An incorrect routing number typically causes a returned payment and bank fees; act immediately to correct the form and resubmit before the next payroll run.
How do I revoke authorization?
Provide written notice to the payer per the revocation terms on the form; allow the employer a payroll cycle to implement the change and confirm stop of deposits.
How long until deposits start?
Processing time depends on payroll schedule and verification method; micro-deposits typically need 1–3 business days to verify before live deposits begin.
Who signs for organizations?
An authorized signatory for the entity—someone with payroll or finance authority—must sign; include title or role to evidence signing authority.

Security and compliance checkpoints

Encryption in transit: TLS 1.2/1.3

Encryption at rest: AES-256

Audit trail: Timestamps, IPs, action logs

Certifications: SOC 2 Type II, ISO 27001

HIPAA considerations: BAA required for PHI

Access controls: Role-based permissions

Consequences and liability risks to watch for

Backup withholding: 24% may apply if missing or incorrect TIN

Returned transfers: Bank fees and payroll delays possible

Fraud exposure: Unauthorized account access risk if mishandled

Employer restitution: May owe recovery fees for misdirected deposits

Regulatory audits: Recordkeeping scrutiny by IRS or auditors

Data breach fines: HIPAA/FTC penalties for PHI misuse

Frequent preparation errors to avoid

Entering an incorrect routing or account number that leads to returned payments and bank charges.
Submitting unsigned forms or missing dates which void authorization and delay payroll setup.
Providing only a P.O. box or incomplete address preventing identity confirmation or bank verification.
Failing to verify account ownership with a voided check or micro-deposits before initiating live payroll.

Essential components of a professional authorization form

A complete form balances clarity for the payee with the payer's need for verifiable banking instructions.

Authorization statement

Clear language granting the payer permission to deposit funds and to obtain corrections or reverse erroneous transfers, including whether authorization covers recurring and one-time payments.

Bank routing

A designated field for the nine-digit ABA routing number and guidance on verifying it against a voided check or bank letter to ensure ACH accuracy.

Account number

A designated field for the full bank account number with instructions to avoid spacing or punctuation that could introduce transcription errors.

Account type

A checkbox or selector for checking versus savings accounts, with an explanation that incorrect selection may prompt return transactions.

Effective date

A date field in MM/DD/YYYY format indicating when the authorization takes effect and helping payroll coordinate the first applicable pay cycle.

Revocation clause

Instructions on how a payee may revoke authorization, required notice period, and contact details for submitting revocation requests.

Process flow from authorization to deposit

A typical workflow moves from collection through verification to recurring ACH credit posting.

Collect: Employee completes form and attaches verification documents.
Verify: Employer confirms account via micro-deposit or bank letter.
Authorize: Payroll system stores authorization and schedules deposits.
Post: Bank credits funds on payroll pay date per ACH rules.

Recommended digital workflow settings

Configure fields and verification steps to reduce manual errors and ensure auditability.

Field	Configuration
Authentication	Email link or SMS code for signer validation
Attachments required	Voided check or bank letter preferred
Verification	Micro-deposits or bank account verification service
Storage	Encrypted repository with role-based access

Technical considerations for e-submission and storage

Ensure platform encryption, audit trails, and any required business associate agreements are available for regulated data.

File formats: PDF, DOCX supported
Integrations: Salesforce, Microsoft 365, NetSuite
Authentication options: Email link, SMS code, KBA

Best practices to prevent delays and disputes

Follow these practices to reduce rework, prevent fraud, and ensure audit-ready records.

Verify bank details before live payroll

Confirm routing and account numbers via a voided check, bank letter, or micro-deposit verification. Establish a verification step in the workflow to prevent returns and avoidable recovery processes that burden payroll staff.

Capture explicit consent and retention

Record the signer's intent, provide a disclosure if consumer-facing per ESIGN (15 U.S.C. ch. 96), and retain a reproducible copy for the period required by IRS or HIPAA to support audits.

Use strong signer authentication

Prefer multi-factor authentication, SMS codes, or knowledge-based verification for remote signatures to reduce unauthorized changes and to strengthen attribution for dispute resolution.

Restrict access and log activity

Store completed forms in an encrypted repository with role-based access and an immutable audit trail documenting who accessed, changed, or transmitted authorization records.

Typical timing and processing expectations

Allow time for verification and payroll cycles when scheduling changes to direct deposit instructions.

Payroll cutoff:

Submit corrected forms before the payroll cutoff to affect the next pay period

Micro-deposit verification:

Verification often completes in 1–3 business days

Revocation effective date:

Allow one payroll cycle for revocations to be implemented

Employer processing:

Employers typically need 3–5 business days to update payroll systems

Error correction:

Report and correct routing errors immediately to avoid compounded issues

eSignature vendor comparison for handling authorization forms

Comparison of common eSignature criteria and pricing to help choose a platform for digital direct deposit onboarding.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by plan	Varies by plan	Varies by plan	Varies by plan
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

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