ESBD_383151_1732055323419_SOL_EXH_F.5_405-24R0010854_Direct Deposit Authorization Form.pdf

This document is a Direct Deposit Authorization Form related to a contract opportunity issued by the Texas Health and Human Services Commission (HHSC). The form is used to provide banking information for direct deposit of payments under contract 405-24-0010854. The form requires the vendor to provide their company name, address, phone number, and banking information including the financial institution name, routing number, and account number. The form must be completed and submitted along with other required bid documents.

The form does not contain any additional details about the scope of work, response dates, award information, or contract terms. It is a standard administrative form required for vendors to receive payments under the contract.