Direct Deposit Agreement Formdev-cleci2023-04-07T03:09:44+05:30 Clean City, LLC. Direct Deposit Agreement Form Authorization AgreementI hereby authorize Clean City, LLC. to initiate automatic deposits to my account at the financial institution named below. This agreement will remain in effect until Clean City, LLC. receives a written notice of cancellation from me or my financial institution, or until I submit a new direct deposit form to the Payroll Department.Account Information Name of Financial Institution: Routing Number: Account Number: Untitled Checking Savings SignatureAuthorized Signature (Primary):Date MM slash DD slash YYYY Authorized Signature (Joint):Date MM slash DD slash YYYY
