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Employee form

Carlos Medina

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Direct deposit

All of Carlos Medina's forms

Direct deposit

Paycheck delivery
Direct deposit
Bank
FirstBank
Account type
Checking
Routing number
107005047
Last four of the account number
1531
I signed the direct deposit authorization with payroll
Yes
Submission history
  • Sept. 21, 2026, 9 a.m. · dana.whitfield@frontrange-roofing.example Sept. 21, 2026, 9 a.m. · dana.whitfield@frontrange-roofing.example · Approved Download submitted copy