Update Direct Deposit Form for 1099 Technicians Preferred Method of Payment*Direct DepositName* First Last Address*Please enter your current address. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email*Enter your email address to receive confirmation. Enter Email Confirm Email Authorization AgreementI hereby authorize Assist A Boss to initiate automatic paycheck deposits to my account at the financial institution named below. I also authorize Assist A Boss to make withdrawals from this account in the event that a credit entry is made in error. Further, I agree not to hold Assist A Boss 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. This agreement will remain in effect until Assist A Boss receives a written notice of cancellation from me or my financial institution, or until I submit a new direct deposit form.Account InformationAccount Type*Personal CheckingPersonal SavingsBusiness CheckingBusiness SavingsFinancial Institution* Account Number* Routing Number* AcknowledgementSignature*