Download a direct deposit form now! Complete this form, then print it, sign it and take it to your employer's payroll department to request direct deposit of your paycheck.Customer name. Address. Complete this form, take it to your employer's payroll department and get your paychecks deposited directly into your account. Name. Address. City. State. ✓ Chase Bank Direct Deposit Instructions. You will need to supply the Bank's (in this case Chase's) routing number and your account number to the payor. How to fill out the Chase Direct Deposit Authorization Form? Stephen John Farrell. Their report expresses an unmodified or "clean" opinion as to the fairness of the presentation of our financial statements. Actual results could differ from those estimates. 9.