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  • Account
    • Login
    • Logout
  • Vendors
  • Onboarding
    • Company Policies
    • Job Descriptions
    • Interview Questionnaire
    • Onboarding Questionnaire
  • Weekly-Tip-Claim
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Direct Deposit Authorization

Western Omelette Direct Deposit Form
  • Employee Information

  • Used for identity verification.
  • Date Format: MM slash DD slash YYYY
    Please select today's date.
  • Bank Account Information

    Please complete all fields
  • You are able to select two separate accounts. Please select the primary account where the majority of your deposit will be sent. This can be a checking or savings account.
  • Please provide the name of your financial institution here.
  • Second Account Information

    Please complete this section if you would like a portion of your paycheck deposited into a second account.
  • If you would like a portion of your check to be deposited into a second account, please select that account type here. This can be an account at a different bank, if you have more than one checking, or savings accounts.
  • The remaining amount will be deposited into this account.
  • Please provide the name of your financial institution here.
  • This is your second account.
  • This is your second account.
  • This is your second account.
  • This is your second account.
  • This is your second account.
  • By clicking this box, you authorize Western Omelette LLC to electronically deposit your paychecks to the accounts listed on this form.
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