I am writing to request a direct deposit form for my paycheck. If you would like to begin Direct Deposit or modify how your funds are distributed, you must complete Form AC 2772 with your banking information.They need your banks information-your account number and the banks routing number so that your paycheck will automatically be put into your account. (CIRI) that I am an owner of the bank account listed above. Indicate whether the account is checking or savings. In order to comply with this requirement, complete the Direct Deposit Form on the back of this notice and return it. Tell us what's changed about the bank account you use for direct deposit. Depending on your benefit type you may need to call us to complete this task. Sample cover letter to accompany Direct Deposit Authorization form. Just fill in the information below, and send to your employer's payroll department. Date.