ESBD_420416_1747402655072_SOL_EXH_F.4_Direct Deposit Authorization Form (1).pdf

This document is a Direct Deposit Authorization form from the State of Texas, designed 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 sections for payee identification, new account information, existing account details, international payment verification, and authorization for setup or changes.

The form requires comprehensive financial and personal details, including identification numbers, financial institution information, routing and account numbers, and contact information. It mandates authorization by the payee's signature and includes optional fields for financial representatives. The form is structured with eight distinct sections covering transaction types, payee identification, account details, and agency-specific information, with specific instructions provided on the second page to guide accurate completion. The document emphasizes compliance with Texas Comptroller of Public Accounts regulations and includes contact information for state employees, vendors, and state agencies seeking assistance with the direct deposit process.