MCEA Direct Deposit
Authorization Form

Complete this form to authorize MCEA to deposit your payment directly to the bank account listed below. Please ensure all information is accurate.

Processing window: May 11 - May 31, 2025

This form was sent to you by MCEA to collect your direct deposit information for payment processing. If you did not expect this email or have concerns, please contact your MCEA representative before proceeding.

Employee / Payee Information

Full Legal Name *

Cell Phone *

Personal Email *

Home Address *

City *

State *

ZIP Code *

Bank Account Information

Bank Name *

Routing (ABA) Number * Found at the bottom-left of a check

Account Number *

Account Type *

Checking Savings Other

Authorization

256-bit encrypted · Secure submission

Submission Received

Thank you. Your banking information has been securely submitted to MCEA. Our team will process your payment during the May 11-31 processing window.

Reference ID: —

🔒 Per MCEA's data retention policy, all submitted information will be permanently deleted within 30 days of submission.

MCEA Direct DepositAuthorization Form

Employee / Payee Information

Bank Account Information

Authorization

Submission Received

MCEA Direct Deposit
Authorization Form