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.
- Type in answers to sections A-D. See How to Complete a Direct Deposit Form for instructions.
- Print the form.
- 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.
- Sign section E of the form, including joint account holder signatures.
- Submit the signed form and any attachments (if applicable) to the BSC (see next section for submittal options).
Where to Submit This Form
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.