ESBD_419875_1747260053889_SOL_EXH_F.4_Direct Deposit Authorization Form.pdf

This document is a Direct Deposit Authorization form issued by the State of Texas for vendors, individual recipients, or state employees to set up or modify direct deposit payment information. The form allows users to establish 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 information, existing account details, international payment verification, and authorization for setup, changes, or cancellation.

The form requires detailed information including financial institution name, routing number, customer account number, account type (checking or savings), and includes verification steps for international payments. The form emphasizes compliance with the National Automated Clearing House Association's rules and provides contact information for different categories of users (state employees, vendors/recipients, and state agencies) to address questions or submit the completed form. The document includes instructions for each section and a federal privacy act statement, highlighting the formal and official nature of the direct deposit authorization process for state of Texas payments.