Payroll Direct Deposit Authorization Form Instructions. Boxes In The Upper Right-Hand Corner Of Form: Check all applicable boxes.You may choose to have deposits in up to 5 separate bank accounts. Please attach a voided check for checking accounts. Instructions for completing this form are on the back. Please print clearly and use black ink. State Benefits Specialist. To have funds placed in different bank accounts, you must complete a separate Direct Deposit Agreement for each plan. Direct Deposit of MNDCP and Hennepin County Supplemental Plan payments. A Direct Deposit Authorization is a document or form that allows an individual or organization to authorize the direct deposit of funds into their bank account.