Emergency Contact & Direct Deposit "*" indicates required fields HiddenDate* MM slash DD slash YYYY Emergency Contact InformationEmployee Name* First Last Primary Contact Name and Phone #* Relationship to You* Secondary Contact Name and Phone #* Relationship to You* Payroll Direct DepositBank Name* Account Number* Routing Number* Account Type* Checking Savings Voided Check or Statement*Max. file size: 256 MB.You MUST attach a copy of a voided check or statement from the bank for direct deposit. Consent* I Agree to Sign Electronically.I authorize AMS to direct deposit pay into account listed above.* Reset signature Signature locked. Reset to sign again
