P.O.
Box 7889
The Woodlands, Texas 77387-7889
(832) 375-2000
(877) 968-7962 Toll-free
DIRECT DEPOSIT / AUTOMATED PAYMENT REQUEST FORM
Complete this form, then print it, sign it and take it to your employer’s payroll department to request electronic deposit of
your check.
Employer / Company Name:
Address City State Zip Code
I (we) authorize the above-named Company to automatically deposit my check to my (our) Woodforest Checking or
Savings account indicated below. This includes my authorization to correct entries made in error. This authorization will
remain in effect until I give written notice to cancel it.
Checking Account Number: Savings Account Number:
113008465 OR
Routing Number: Routing Number:
1132513373
You can find your account number on your statement If monies to which I am not entitled are deposited to
under the Summary of Account section. Routing number my account, I authorize the Company (issuer) to direct
information is located here: the financial institution to return said funds and I
https://www.woodforest.com/WFNB/check-routing- authorize the financial institution to act on the
number Company's direction and to return said funds.
Customer First Name Middle Name Last Name
Address City State Zip Code
Signature (required) Date Telephone Number
If Woodforest can be of further assistance or additional information is required, please contact our Verification Department
at 832-375-2101 or call (toll-free) at 1-877-968-7962.
REV. 4.6.2020