U.S. Bank Direct Deposit Authorization Form

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Updated October 20, 2021

The U.S. Bank direct deposit authorization form can be used so that your employer may set up a regular method of payment deposits to your account. Generally, it is suggested to contact your employer to verify this form will be accepted before submitting it. Some employers may have their own form, use this as an accompanying form, or not have any such process in place. If the employer does not have a regular process set in place but will accept this form, make sure to attach a blank voided check to the front of this document when submitting it to Human Resources or Payroll Department there.

How to Write

Step 1 – The button labeled “PDF” below the image on the right will deliver access to a blank PDF version of the U.S. Bank Direct Deposit Authorization Form. Click on this button then save this file to an easily accessible location on your machine.

Step 2 – Enter your Name on the first blank line, labeled “From,” then report the current Date on the line following the word “Date” at the top of this page.


Step 3 – Locate Item 1 then, on the blank line present, enter the Routing Number the U.S. Bank you hold your account with uses.

Step 4 – Locate Item 2, then on the blank line present, enter the U.S. Bank Account Number where the Direct Deposit must transfer funds to.

Step 5 – The next line, beginning with the words “Check One,” will require you identify the type of Account you have listed. If this is a Checking Account, then place a mark in the box labeled “Checking Account.” If this is a Savings Account, place a mark in the box labeled “Savings Account.”


Step 6 – Print your Full Name as it appears on the Account receiving the Deposit on the blank line labeled “Print Name.”

Step 7 – Enter your Social Security Number on the blank line labeled “Employee Social Security Number.”


Step 8 – Read the statement beginning with the words “If this form…” then Sign your Name on the Signature Line and enter the current Date on the Date line. Below this you must report your Daytime Telephone Number on the blank line labeled “Phone Number.”


Step 9 – In the box below this area, provide a Contact Name, U.S. Bank Address, Phone Number, and Fax Number where you hold your account. If you do not have this information, you may either call the branch where you hold your account or you may visit it with this paperwork.


Step 10 – Once you have completed this form, submit it to the proper Office in your place of Employment.

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