Online Direct Deposit Form Employee InformationEmployee PIN Number* Employee Name First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Account InformationName of Bank: Routing & Transit Number (9 Digits) Account Number Type of Account Checking Savings Voided CheckMax. file size: 30 MB.Please upload a photo of a voided checkAuthorizationI hereby authorize Grand Rapids Building Services, Inc. (GRBS) to initiate automatic deposits of my NET PAY to my account at the financial institution named below. I also authorize GRBS to make withdrawals from this account in the event that an entry is made in error. Further, I agree not to hold GRBS responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account. I understand that GRBS does not guarantee the time the funds are released into my account. In the event I close an account, I will notify GRBS to stop direct deposit immediately. This must be done before 5:00 PM on Tuesday of a pay week to guarantee funds will not be sent to the closed account. If not notified in time, funds will be delivered to the information on file. GRBS will release funds to me via manual check ONLY when notified by the payroll provider that funds are being returned to GRBS.Ready to Submit Yes I understand that checking this box constitutes a legal signature.