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FI21 Direct Deposit Form

Use this form to add new or updated direct deposit accounts for your paycheck.  Additions and updates can also be made electronically in the Employee Self Serve system.  Completed forms must be submitted to State Payroll via fax to 385-465-6012.

The link below will take you to the DAS Finance Forms web page to access the most recent version of this form.

Finance forms are fillable PDFs. Forms ending with an asterisk save information to and retrieve information from their database and require a login to access. These forms must be opened in a browser other than Chrome.

If you get the “Please wait…” message after clicking on a form link, use the save-as or download function, then open the form from your documents folder.

If you need a hard copy form or have questions, concerns, or suggestions about any of the forms, please call the FINET Help Desk at 801-957-7760.

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