Direct Deposit Authorization

Notice: Data entered into this form will be encrypted to ensure the safety of your data.

Employee Name*
First Last
Client Name*
Phone*
Email*
Bank Name*
Account Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Account Number*
Routing/Transit Number*
Type of account*
- Checking
- Savings
Amount ($ or %)*
Electronic Consent*
- I (we) hereby authorize eEmployers Solutions, Inc., heinafter called COMPANY, to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries in error to my (our) account indicated below and the depository named below, hereinafter called DEPOSITORY, to credit and/or debit the same to such account.
This authority is to remain in effect until eEmployers Solutions, Inc. and your bank have received written notification from me (or either of us) of its termination. Sufficient advance notification will be provided to eEmployers Solutions, Inc and your bank to allow for proper processing of all accounts pending.

Our mission is to simplify the employment challenges of business. We offer expertise in Human Resources, Workers’ Compensation & Risk Management, Employee Benefits, Retirement Packages, Payroll Administration and more.

Payroll Admin

Still doing your own payroll? Tasks involved with Payroll and Employee Administration are purely transactional events.

Human Resources

At eESI, our business is all about assisting with the management of any organization’s most valuable resource: people.

Employee Benefits

A benefit package can be a major incentive to lure the best new talent to your workforce and keep your current employees happy.

Risk Management

Risk is a basic part of business. As a co-employer we work to eliminate, mitigate or share your associated legal liabilities.

HCM Technology

eESI continuously utilizes the latest in technological advances through online and mobile solutions to make your life easier.