<p> DIRECT DEPOSIT Prism Retail Services</p><p>EMPLOYEES RESIDING IN THE FOLLOWING STATES, MUST ENROLL IN THE DIRECT DEPOSIT BENEFIT PER OUR EMPLOYER RIGHTS UNDER EACH STATE LAW:</p><p>AL, AR, KY, LA, ME, MA, MS, MO, NE, NC, ND, OH, SD, TN, TX and WA</p><p>______</p><p>Have you ever had a check lost in the mail? Have you ever been waiting for a check to arrive? Neither experience is one that we want you to encounter.</p><p>Instead of worrying about your paycheck being lost, stolen or arriving late, how would you like to receive it electronically without ever having to wait for it?</p><p>Think Direct Deposit</p><p>Direct deposit is a FREE benefit!</p><p>No more worrying whether your check will arrive on time or not, paying to have it cashed (i.e. currency exchange or check cashing station) or hurrying to get bills paid on time. If you cash your check at the local Currency exchange, rates are approximately 1.85% of the net check. For example, if your check is $500, it will cost you $9.25 in service fees in order to cash that check. </p><p>Prism’s Payroll Team is here to help you avoid such unnecessary headaches and wants to make this an automatic and a stress-free process for you. You will continue to receive a pay stub in the mail to show what was paid for each pay period. And what’s more, most banks that otherwise charge a monthly service fee for establishing an account will waive this service fee if you establish a direct deposit. </p><p>Take advantage of this benefit and sign up today. Simply complete the form below and return it with the rest of your new hire paperwork as directed by the Recruiter. ______</p><p> YES, I would like to take advantage of the direct deposit benefit and have attached my voided check or savings deposit slip. </p><p>Attach voided check or savings deposit slip here</p><p>A CHECKING account deposit slip is NOT acceptable; you must submit a voided check.</p><p> NO, I do not wish to take advantage of the direct deposit benefit at this time.</p><p>If you have any questions, please contact the Corporate Office at (800) 808-1992 and ask to speak with one of our Payroll Specialists.</p><p>PRINTED NAME: ______DATE: ______</p><p>SIGNATURE: ______</p><p>Updated 4/07</p>