Fillable Printable Direct Deposit Request - Alabama
Fillable Printable Direct Deposit Request - Alabama
Direct Deposit Request - Alabama
FRMS-15
Rev. 04/1999
STATE OF ALABAM A
DIRECT DEPOSIT REQUEST
The State of Alabama is requested to electronically transfer my salary to the bank or
financial institution listed below.
Attach a copy of the Employee’s voided check or deposit slip.
Name of Financial Institution:
Account Type: Checking
(or) Savings (Check 1 box only)
Account Number:
Bank Routing Number:
Type/Print Employee’s Name as on Payroll Records.
Employee’s Social Secu rity Number
Employee’s HOME Mailing Address (Street)
City, State, and Zip Code of Employee’s Hom e Mailing Address
Employee’s Departme nt or Agency
Employee’s Home Telep hone Number Work Teleph one Number
____________________________ _____________________________
Signature of Employee Date
