Payroll Setup - Prana IV Therapy

Payroll/Direct Deposit Setup

Direct Deposit Form

Please enter your bank info into this secure form for direct deposit. Payday is every other Friday, with the pay period ending Sunday night at midnight on the week of payroll.

Contractor's Full Name*
Contractor's Birth Date*
MM slash DD slash YYYY

Required for Payroll/Age Verification
Contractor's Social Security Number or EIN*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name on Account (if different than Contractor Name)
Account Type*
Routing Number*
Account Number*