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. What Is This Form For?Complete all the information below. Sign and date the bottom of the form. List the Financial Institution Name. Your net pay will be going to the Financial Institution Name listed. 2. This authorization form is critical for organizations to utilize the efficiency of direct deposit, as well as to stay legally compliant in their payroll. Learn more about how direct deposits work and how to set one up so that your checks are deposited into your account automatically. I am writing to request a direct deposit form for my paycheck. DIRECTIONS. To sign up for Direct Deposit, the payee is to read the back of this form and fill in the information requested in Sections 1 and 2.