Connexzia Direct Deposit Enrollment

Drivers can securely submit banking details for ACH payouts.

Full Name

Phone

Driver Type

Company Name

Banking Information

Bank Name

Account Holder Name

Routing Number

Account Number

Confirm Account Number

Account Type

Address Line 1

Address Line 2

City

State

ZIP / Postal Code

Notes

I authorize Connexzia to use the banking information I submitted for direct deposit and payment setup purposes.

Your banking details are stored encrypted inside the application database.