Direct Deposit Authorization | BridgeCare Employee Portal

BridgeCare

Direct Deposit Authorization

Payroll

Authorize payroll direct deposit to your bank account.

1Employee Information

2Banking Information

Security Notice: This form is transmitted securely to HR only. Never share your banking information with anyone other than authorized HR staff.

3Authorization Signature

I authorize BridgeCare to deposit my pay to the account listed above. I understand this authorization will remain in effect until I submit a written cancellation.

BridgeCare

Your submission will be sent securely to our team at referrals@bridgecareohio.com. A completed PDF copy will be available for download after submission.