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Direct Deposit
This form puts Direct Deposits in their place. Right into your new account.
Use this form to request a direct deposit of regular payments from your employer, a pension or retirement payment,
Social Security, or from just about anywhere else, into your Citibank
®
account. With Direct Deposit, you won’t ever
have to worry about lost or stolen checks and, as soon as a check is deposited into your Citibank account, it s avail-
able to you as cash.*
1. Attach a personal check from your new Citibank account with the word
“VOID” written in large letters in ink across the front. Do not sign the check.
Follow these
Note: Checks are not available for the Access Account Package. Your employer may need to verify electronically.
easy steps:
2. Sign and date the form.
3. Submit to your employer or other fund originator.
EMPLOYEE NAME (PLEASE PRINT):
EMPLOYEE ID OR SOCIAL SECURITY NUMBER:
EMPLOYEE WORK PHONE NUMBER:
I wish to deposit to my Citibank account: (CHECK ONE)
ENTIRE NET PAY % OF NET PAY SPECIFIC AMOUNT: $ .
OO
ACCOUNT NUMBER:
ı__________ ı ________________
ı CHECKING ACCOUNT ı MONEY MARKET ACCOUNT ı SAVINGS ACCOUNT
BRANCH ADDRESS:
CITY, STATE, ZIP CODE:
CITIBANK ABA ROUTING NUMBER:
I authorize
EMPLOYER OR FUND ORIGINATOR
to initiate credit entries and, if necessary, to initiate any debit entries and adjustments
to correct any erroneous credit entries to my account at Citibank.
SIGNATURE: DATE:
I understand that this authorization will remain in full force and effect until the company named here has received
written notification from me of its termination in such time as to afford the company and depository a reasonable
opportunity to act.
HELPFUL INFO
• TRACK YOUR
REQUEST
To confirm that
your check is being
deposited into your
Citibank account, go to
www.citibankonline.com,
check your statement
or call 1-888-CITIBANK.
• PLAY IT SAFE
Direct deposit should
take effect within three
deposit periods — if you
don’t see it by then,
contact your employer.
Keep your old account
open until all direct
deposits have been
switched to your new
Citibank account.
*This authorization form is valid only to initiate a direct deposit of funds to a Citibank account. Participation in direct
deposit is contingent upon your employer or fund originator offering the service and your eligibility to participate.
Note that some organizations or companies (like Social Security) may require you to use a special form. Contact your
employer or income source to make sure no other forms are required.
How to find your Citibank routing number
Your routing number is located on the bottom left side of your check. It will be the first 9 digits listed as shown in
the sample below. If you do not have a check you may obtain your routing number from a Branch Representative,
at www.citibankonline.com or call 1-888-CITIBANK (TTD/TTY 1-800-945-0258).
Note: This authorization form is valid only to initiate a direct deposit of funds to a Citibank account.
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