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Home
Solutions
Total HR
Focused HR
About
Meet the Team
A Letter From Our Owner
Kaya Cares
What Our Clients Say
Partnerships
Contact Us
Hire an Employee
Request Services
Direct Deposit Form
Please enable JavaScript in your browser to complete this form.
Name
*
Email
*
(Your direct deposit stub will be emailed to this address each payday)
Phone
*
Direct Deposit 1
*
Checking Account
Savings Account
Name of Financial Institution
*
Would you like your earnings deposited in one account or split between two?
*
Full Paycheck Amount
Two Accounts
If there are two bank accounts you'd like us to deposit your earnings into, please complete Direct Deposit 2.
Amount to Deposit: Account 1
*
Voided Check Upload
Drag & Drop Files,
Choose Files to Upload
You can upload up to 2 files.
Please provide documentation from your bank with pre-printed routing and account numbers. If you don’t have documentation, please double-check your routing and account number as an incorrect entry may result in a delay in payment.
Routing Number
*
Confirm Routing Number
*
Account Number
*
Confirm Account Number
*
Direct Deposit 2
*
Checking Account
Savings Account
Name of Financial Institution
*
Amount to Deposit: Account 2
*
Voided Check Upload
Drag & Drop Files,
Choose Files to Upload
You can upload up to 2 files.
Please provide documentation from your bank with pre-printed routing and account numbers. If you don’t have documentation, please double-check your routing and account number as an incorrect entry may result in a delay in payment.
Routing Number
*
Confirm Routing Number
*
Account Number
*
Confirm Account Number
*
Authorization
*
I authorize Kaya HR to direct deposit my paycheck funds into the account(s) listed above. I also understand Kaya HR is not liable for any delays due to errors submitted on this form.
Type Full Name
*
Date
*
Phone
Submit