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DIRECT DEPOSIT INFORMATION FOR ACTIVE DDI DRIVER-CLIENTS

Please submit the form below for review by your local DDI representative.

Authorization for Direct Deposit:

***Fields in red are required***

Full Name (First & Last):
Marketing Firm / Office:
Bank Name:
Account Type:
*If you do not have a bank account, and are not able to open a bank account, a DDI Accounting Representative will call you to discuss another payment option. Please continue to fill out this form, excluding the account information section*
*ACCOUNT INFORMATION*	Please be sure this information is accurate
Account Number:
Routing Number: (must be 9 digits):
PERSONAL CONTACT INFO
Address:
City, State, Zip:
Telephone (Primary):
Social Security Number:
DOB:
Email Address:

PLEASE DOUBLE CHECK FOR ACCURACY BEFORE SUBMISSION

Authorization:

I authorize Delivery Drivers, Inc. located at 17900 Sky Park Circle, Suite 210, Irvine, CA, 92614 (hereafter referred to as “Company”) to direct deposit of funds to my account with the financial institution listed above. If funds to which I am not entitled are deposited in my account, I authorize the initiation of a correction (debit) entry electronically or by any other commercially accepted method. I understand that the authorization may be rejected or discontinued at any time. If any of the below information changes, I will notify DDI immediately and complete a new authorization agreement by Friday of the given week. If the direct deposit is not stopped before closing an account, a rejection fee of $5 will be assessed and funds payable to you will be returned for distribution. This will delay your check.

This authorization will be in effect until the “Company” receives a written termination notice from the driver listed above: