Social Security No. XXX-XX-. Have a check directly deposited (electronic transfer of funds) into your Wayne Bank account.You will need the name of your financial institution, as well as your account number and routing numbers. You must fill out a new form when you change accounts or are rehired (i.e. What Is This Form For? To participate in Direct Deposit: 1. Fill out and sign the attached Request for Direct Deposit of Payroll. 2. For participation in the Direct Deposit program for payroll, please complete the Direct. Other posts tagged: direct deposit. Complete this form and provide to the business you would like to authorize direct deposits for.