Electronic Payments

Which Form applies to me?


State Employees
To choose a payment option or to change your direct deposit, please download the Payroll Direct Deposit Form or the WVPay Card Form.

Web Form Payroll Direct Deposit Form
Web Form WVPay Card Form

To receive your travel reimbursements electronically or to make changes to your current direct deposit please download the Travel Direct Deposit Form.

Web Form Travel Direct Deposit Form



View the latest report to see how many state employees and agencies have transitioned from paper checks to direct deposit and enods.


Vendors who would like to receive their payments electronically from the State of West Virginia or need to make a change to their current direct deposit will need to download the appropriate form below:

Adobe PDF Company eVendor Agreement Setup
Adobe PDF Company eVendor Agreement Change
Adobe PDF Company eVendor Agreement Cancel
Adobe PDF Payroll eVendor Agreement Setup
Adobe PDF Payroll eVendor Agreement Change
Adobe PDF Payroll eVendor Agreement Cancel


Retirees who want to start or change their direct deposit please download the Direct Deposit Form for Retirement.

Adobe PDF Direct Deposit Form for Retirement


DHHR Birth to Three participants who would like to receive their payments electronically or need to make a change to their current direct deposit please download the appropriate form below:

Adobe PDF Birth To Three Direct Deposit Application Setup
Adobe PDF Birth To Three Direct Deposit Application Change
Adobe PDF Birth To Three Direct Deposit Application Cancel


BHHF Charity Care Providers who would like to receive payments electronically or need to make changes to their current direct deposit please download the appropriate form below:

Adobe PDF BHHF Charity Care Direct Deposit Setup
Adobe PDF BHHF Charity Care Direct Deposit Change
Adobe PDF BHHF Charity Care Direct Deposit Cancel


WV Medicaid Providers who would like to receive their payments electronically or need to make changes to their current direct deposit please download the appropriate form below:

Adobe PDF WV Medicaid Direct Deposit Setup
Adobe PDF WV Medicaid Direct Deposit Change
Adobe PDF WV Medicaid Direct Deposit Cancel


Counties, Municipalities & Volunteer Fire Departments that receive severance taxes or surcharges and want to setup or change their direct deposit please download the appropriate form below:

Adobe PDF Severance & Surcharge Taxes Direct Deposit Setup
Adobe PDF Severance & Surcharge Taxes Direct Deposit Change
Adobe PDF Severance & Surcharge Taxes Direct Deposit Cancel
Adobe PDF VFD Direct Deposit Setup
Adobe PDF VFD Direct Deposit Change
Adobe PDF VFD Direct Deposit Cancel


FACTS Providers who want to start or change their direct deposit please download the appropriate form below:

Adobe PDF FACTS Direct Deposit Setup
Adobe PDF FACTS Direct Deposit Change
Adobe PDF FACTS Direct Deposit Cancel


Workers’ Compensation participants who would like to receive their payments electronically or need to make changes to their current direct deposit please download the Workers’ Compensation Direct Deposit Form.

Adobe PDF Workers’ Compensation Direct Deposit Form


WV Works participants who would like to receive their payments electronically or need to make changes to their current direct deposit please download the WV Works Direct Deposit Form.

Adobe PDF WV Works Direct Deposit Form


Payroll Administrators who need to have a payment removed from the direct deposit file must download the Direct Deposit Pull – Off Form.

Adobe PDF Payroll Direct Deposit Pull - Off Form


Others who need to have a payment removed from the direct deposit file must download the Direct Deposit Pull - Off Form.

Adobe PDF Direct Deposit Pull - Off Form


Administrators who need to have a direct deposit payment returned must download the Direct Deposit Reversal Form.

Adobe PDF Direct Deposit Reversal Form




Note: You will need the latest version of Adobe Acrobat Reader to view or download documents in this section. If you do not have the most recent version of the Adobe Reader, click Get Adobe Reader! and follow the directions to download it FREE from Adobe.com.


1900 Kanawha Boulevard East, Building 1, Room W-100, Charleston, WV 25305
Toll Free 877.982.9148   Phone 304.558.2261   Fax 304.558.5200


Terms of Use  |   Privacy Statement