Direct Deposit Form for NYS Employees (AC-2772)

What Is This Form For?

To enroll, change, or cancel the direct deposit of your paycheck into your personal checking and/or savings accounts. 

Download the Forms:

Is This Form Mandatory?

No, direct deposit is optional.  Your direct deposit will transfer with you if you move to another state agency.

How to Complete This Form

This form is fillable.

  1. Type in answers to sections A-D. See How to Complete a Direct Deposit Form for instructions.
  2. Print the form. 
  3. For all new accounts, attach a voided check or submit written verification from the financial institution showing the account number, routing number, and name(s) on the account.
  4. Sign section E of the form, including joint account holder signatures.  
  5. Submit the signed form and any attachments (if applicable) to the BSC (see next section for submittal options).

Where to Submit This Form

Email:

[email protected]

 

Fax:

518-457-1879

 

Mail: 

BSC Payroll Administration

W. Averell Harriman State Office Campus

1220 Washington Avenue

Building 5, Floor 4

Albany, NY 12226-1900

Contact the BSC Payroll Admin Team

Still have questions? Try the BSC Help Center where you can send a question to our support team or search a database of FAQs.

Contact us by email:

Mailing Address:

BSC Payroll Administration
1220 Washington Ave
Building 5, Floor 6
Albany, NY 12226-1900

Contact us by fax:

(518) 457-1879