ESBD_417792_1746819584690_SOL_EXH_F.5_25R0009953 Direct Deposit Authorization.pdf

This document is a Direct Deposit Authorization form issued by the State of Texas for vendors, individual recipients, or state employees to establish or modify direct deposit payment information. The form allows individuals to set up new direct deposit accounts, change financial institutions, update account numbers, or cancel existing direct deposit arrangements. It provides comprehensive sections for payee identification, new account setup, existing account changes, international payment verification, and authorization for setup or cancellation.

The form requires detailed information including financial institution details, routing numbers, account types (checking or savings), and necessitates signatures for authorization. It includes optional fields for financial representatives and provides instructions for completion across eight distinct sections. The document is designed to facilitate electronic payments from the Texas Comptroller of Public Accounts, with built-in safeguards such as error reversal provisions and compliance with the National Automated Clearing House Association's rules. Contact information is provided for state employees, vendors, and state agencies to seek assistance in completing the form.