Direct Deposit

We are excited to have you join the team here at Team USA Collision. We want to make your transition a smooth one.

So let’s get you up and running.

If you prefer to download a copy of the form, click here

"*" indicates required fields

Shop Location*

Direct Deposit Request*

First Name*

Middle

Last Name*

SSN*

Address*

Street Address Address Line 2 City State ZIP Code

Financial Institution*

Transit #*

Confirm Transit #*

Account #*

Confirm Account #*

If less than 100% of your net pay is to be deposited to the account noted, please indicate amount or percentage to be deposited

Deposit Percentage

If different from 100%

Type of Account*

Employee Signature (Electronic)*

Today's Date*

Phone

This field is for validation purposes and should be left unchanged.