Bank Freedom Direct Deposit Form

Enter your information in the fields below and a your Direct Deposit form will be automatically generated with your Routing and Account Numbers for your convenience.

Prepaid Card Account Direct Deposit Form 1. Prepaid card account holder information:
First Name:	M.I.:	Last Name:
2. Please enter your card account number:		Valid thru (mm/yyyy)
		/
3. Please deposit the following amount into my Bank Freedom Prepaid Card account
Deposit my entire paycheck (100%) OR
Deposit the following amount: $
Employer/Benefits Provider Name:

Bank Freedom Prepaid Visa Card is issued by MetaBank™ pursuant to a license from Visa U.S.A. Inc. Bank Freedom Prepaid MasterCard is issued by MetaBank pursuant to license by MasterCard International Incorporated. MasterCard is a registered trademark of MasterCard International Incorporated. Bank Freedom is an authorized Independent Sales Organization ("ISO") of MetaBank. Subject to funds availability. Transaction fees, terms and conditions apply. All trademarks, service marks and registered marks are the properties of their respective owners.

*The USA PATRIOT Act is a Federal law requiring all financial institutions to obtain, verify, and record personnel information that uniquely identifies each person who opens an account. You will be asked to provide your name, address, date of birth, and other information that will allow us to identify you. You may also be asked to provide documentation as evidence / proof of identification. "100% Approval", "Guaranteed Approval", and "No one is Turned Down" is contingent upon successful completion / passing of this mandatory identification confirmation.