DATE: understand and accept the conditions of participation in the direct deposit program. This authority will remain in effect until I cancel it in writing.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. This document will create a form for employees to fill out to create, cancel, or change their direct deposit. Please complete the following information regarding the Employee. Name: ID Number: Social Security Number (SSN):. Direct Deposit Enrollment and Change Form. Documents. Contact. Mailing Address: MSC 1331, Raleigh, NC 27699-1331. A direct deposit authorization form authorizes a third party, usually an employer for payroll, to send money to a bank account. Employees can also download and complete sections one and two of the U.S. Treasury's Direct Deposit Sign-Up Form (Form 1199A).