Fill and Sign the Fiilable Forms Post Accident Drug Testing Policy

Direct Deposit Transfer Letter Complete and sign this form for every party (i.e. employer, vendor) initializing a direct deposit to your account. Then, give this signed form, along with a voided check from your new HSBC account, to the party making the direct deposit. Ì Establish Direct Deposit Company Information Ì Change my existing Direct Deposit Company Name _______________________________________________________________________________________ Address ______________________________________________________________________________________________ City ________________________________________________ State ________ Zip __________ Phone # ______________ Customer Information Name ________________________________ Employee ID#/Account#____________________ Social Security # ________________________________________________________________________________________ Address ______________________________________________________________________________________________ City ________________________________________________ State ________ Zip __________ Phone # ______________ Bank Information HSBC Bank USA, N.A. Routing Number _________________________________________ Routing Number Deposit Information Account Number Check Number Note: You can route your direct deposit to more than one account. 2. Account Type: 1. Account Type: Ì HSBC Checking Ì HSBC Checking Account Number: __________________________________ Account Number: __________________________________ Amount $ or % (circle one) __________________________ Amount $ or % (circle one) __________________________ Ì HSBC Savings Ì HSBC Savings I authorize __________________________________________________ (employer/company) to make deposits directly to my HSBC Bank USA, N.A. account(s) indicated above, and authorize the Bank to accept such deposits. Customer Signature _____________________________________________________________ Date __________________ HSBC Personal Banking Switch Kit Issued by HSBC Bank USA, N.A. ©2006 HSBC Bank USA, N.A.