ESBD_417383_1746806737030_SOL_EXH_F.4_DIRECTDEPOSIT.pdf
PDF 742 KB Posted
- Attached to
- Region 5 Lubbock Canopies Installation
- Solicitation number
- 4025R0011714A
- Issued by
- Harris County, Texas
About this file
This document is a Direct Deposit Authorization form from the State of Texas, designed for vendors, individual recipients, or state employees to establish or modify direct deposit payment information. The form allows users to set up new accounts, change financial institutions, modify account numbers, or cancel existing direct deposit arrangements. It requires detailed information including payee identification, banking details, routing numbers, and account types (checking or savings). The form includes sections for new account setup, existing account changes, international payment verification, and authorization for setup or cancellation.
The form provides comprehensive instructions for completing each section, emphasizing the need for accurate information and highlighting key requirements such as providing identification numbers, financial institution details, and authorized signatures. It specifies that agencies must follow specific guidelines when processing payment information, and includes contact information for state employees, vendors, and state agencies to resolve questions or submit the completed form. The document also includes a Federal Privacy Act Statement noting the purpose of collecting information and the legal basis for requesting specific details.
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
File details come from the government source that posted it. Updated .