PayOptionsDirectDeposit (E1993) PDF
PayOptionsDirectDeposit (E1993) PDF
Kelly Services, Inc. and its subsidiaries (“Kelly”) offer two options to receive your pay: Direct Deposit or the Money Network® Service.
To understand Money Network®, ask your Kelly Representative to supply you with the Pay Options: Money Network Service Form
(e1991).
DIRECT DEPOSIT: Kelly will disburse all of my net pay as selected below (“Direct Deposit”) into the account (the “Account”)
at the financial institution with the routing and account number and account type (collectively, “Account Information”) I have
provided to Kelly by completing and submitting the Direct Deposit Enrollment Information below.
I WAS GIVEN THE OPTION TO SELECT EITHER DIRECT DEPOSIT OR MONEY NETWORK
SERVICE AS MY PREFERRED METHOD OF PAY (CA, CT, GA, NH, AND NY ONLY: I WAS ALSO
GIVEN THE OPTION FOR AN EMPLOYER-ISSUED PAPER PAY CHECK): ✔
(R EQUIR ED - CHECK THE BOX. BY CHECKING THE BOX, I AM AGREEING WITH THIS STATEMENT.)
By completing this form and submitting this document, I authorize Kelly to disburse my pay via Direct Deposit. In case of erroneous
credit of funds to which I am not entitled, I further authorize Kelly to debit the Account. I understand that I can change my pay
selection at any time in the future by submitting a new Employee Pay Selection Form and other required information,
according to Kelly procedure (subject to the time it takes Kelly to implement the change). My election will remain in
effect unless Kelly and/or Program Manager cancels this arrangement.
Brenda K Drinkard
Social Security/Social Ins. No. Kelly Branch No. (obtain from Kelly Name(s) on Account Account Type:
Rep) ✔ Checking
Wells Fargo
Bank Routing No. Bank No. Transit No. Account No.
(U.S. ONLY) (CANADA ONLY) (CANADA ONLY)
1018602049939
With this Direct Deposit enrollment form, I am attaching either (not required if using eRegistration):
□ Voided Check (attach voided check below)
□ Bank Letter (Include with this enrollment form as a separate page)