4-Vendor Direct Deposit Authorization Form.pdf
PDF 195 KB Posted
- Attached to
- Charter Bus and Transportation Services
- Solicitation number
- RFP 26-27-10
- Issued by
- Cameron County, Texas
About this file
This is a Vendor Direct Deposit Authorization Form for Los Fresnos Consolidated Independent School District (LFCISD) in Texas, related to a Charter Bus and Transportation Services procurement solicitation. The form establishes the procedural requirements for vendors seeking to provide charter bus and transportation services on an as-needed basis for the district's field trips, employee shuttles, event transportation, and other designated travel requirements. The authorization form itself does not specify quantities, response dates, due dates, site visits, bidder meetings, award dates, or contract terms, as it functions as an administrative document to be completed after vendor selection rather than as a solicitation document containing those procurement details.
The form requires vendors to provide banking information for direct deposit payment processing, including financial institution details, account type, account number, and routing number, along with supporting documentation such as a bank direct deposit form or voided check. Vendors must complete sections identifying their business information, banking details, and authorize LFCISD to process electronic payments. The form indicates that vendor authorization remains in effect until written cancellation is provided and that vendors are responsible for notifying LFCISD of any changes to banking information or discrepancies. The document references related required vendor documentation including a New Vendor Request Form, W-9 form, vendor certifications, Form 1295, and a Conflict of Interest Questionnaire, indicating this is part of a comprehensive vendor onboarding package rather than a standalone procurement document.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
U p d a t e d 1 1 - 1 - 2 3
Vendor Direct Deposit Authorization Form
Section I – Vendor Information
Vendor Name: ______________________ Tax ID#________________________
Mailing Address: ___________________________________________________
Vendor contact person: _____________________________________________
Phone Number: _____________________________________________________
E-mail:_______________________________________________________________ (Electronic Notification will be sent to email address listed for vendor payments)
Section II – Banking Information Type of Transaction:
( ) New ( ) Change ( ) Cancel Effective Date: _________________
Financial Institution: ______________________________________________________________
City, State, Zip Code: _____________________________________________________________
Type of Account: ( ) Checking ( ) Savings
Account #________________________________Routing # _______________________________
Note: Please provide bank direct deposit form or a “voided” check. (This will be used to verify bank transit routing number and bank account information.)
Section III – Certification I hearby authorize Los Fresnos Consolidated Independent School District (LFCISD) to initiate credits (and/or corrections to the previous credits) to my account listed above. This authority is in effect until I cancel it in writing giving LFCISD reasonable opportunity to act on it, or upon termination of our business.
It is my responsibility to inform LFCISD of any changes in our banking information or of any discrepancies.
Vendor Authorized Signature Phone Number Date
Section IV – Internal Use Only Processed by Accounting: ____________________ Date: _______________________
Vendor ID#_________________ sdelossantos Highlight
| New Vendor Request Form 11-15-23.pdf |
| _New Vendor Packet 11-1-23.pdf |
| New Vendor Request Form 11-1-23.pdf |
| ACH form 11-1-23.pdf |
| Form W-9.pdf |
| Vendor Certifications, CIQ, 1295, & COLI 11-1-23.pdf |
| _LFCISD Required Proposal Forms Template for Bids2.pdf |
| The following provisions are required and apply when federal funds are expended by Los Fresnos CISD, and/or its cooperative members, for any contract resulting from this procurement process. |
| _Form 1295.pdf |
| Form 1295 Changes.pdf |
| _Form CIQ Conflict of Interest Questionaire.pdf |
| coi-example.pdf |
| Vendor Name: |
| Tax ID: |
| Mailing Address: |
| Vendor contact person: |
| Phone Number: |
| Email: |
| Effective Date: |
| Financial Institution: |
| Account: |
| Routing: |
| Phone Number_2: |
| Processed by Accounting: |
| Date_2: |
| Vendor ID: |
| Date: |
| City State Zip Code: |
File details come from the government source that posted it. Updated .