Direct Deposit Form

Agent Information

Name: *

Email: *

Agent ID:

Phone: *

Account Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Payment Information

Name of Bank: *

Account No. *

Routing No. *

Account Type: *

Cashapp Name or Phone #: *

If you don't have a cashapp card/account. Please put N/A in the field.

Voided Check for the Account:

You can also upload a picture showing your routing # and account #...

Authorization: *

I authorize direct deposit of my payments
I agree to the terms and conditions

By Submitting this form you agree for Wave USA, Inc. any affiliates, subsidiaries, partners of Wave USA to make direct payment(s) to your banking account in accordance to your independent contractor pay agreement.

Signature: *

Clear Signature

Request Date: *