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.

EPICS Payroll Direct Deposit Form
wvOASIS Payroll Direct Deposit 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.

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:

Company eVendor Agreement Setup
Company eVendor Agreement Change
Company eVendor Agreement Cancel
Payroll eVendor Agreement Setup
Payroll eVendor Agreement Change
Payroll eVendor Agreement Cancel
wvOASIS Payroll eVendor Agreement Setup


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

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:

Birth To Three Direct Deposit Application Setup
Birth To Three Direct Deposit Application Change
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:

BHHF Charity Care Direct Deposit Setup
BHHF Charity Care Direct Deposit Change
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:

WV Medicaid Direct Deposit Setup
WV Medicaid Direct Deposit Change
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:

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


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

FACTS Direct Deposit Setup
FACTS Direct Deposit Change
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.

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.

WV Works Direct Deposit Form


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

EPICS 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.

Direct Deposit Pull-Off Form


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

Direct Deposit Reversal Form


HRM Payroll Administrators who need to have a direct deposit payment returned must download the HRM Direct Deposit Reversal Form.
This form is to be used for HRM Payroll Reversals Only!

HRM Direct Deposit Reversal Form