ESBD_422683_1748034887509_SOL_EXH_F.4_Direct Deposit Authorization Form.pdf

This document is a Direct Deposit Authorization form from the State of Texas, designed for state employees, vendors, or other recipients to set up, change, or cancel direct deposit payment information. The form provides comprehensive sections for payee identification, new account setup, existing account changes, and international payment verification, with detailed instructions for completing each section. The form requires key information such as financial institution details, routing numbers, account types, and authorization signatures.

The form includes multiple sections that must be completed depending on the transaction type, including new setup, account changes, or cancellation. It requires identification numbers like Social Security number or Texas Identification Number, mailing address, and financial institution details. The form emphasizes compliance with the National Automated Clearing House Association's rules and provides contact information for state employees, vendors, and state agencies to process direct deposit arrangements. The document also includes a Federal Privacy Act Statement noting that disclosure of identifying information is required for administrative and identification purposes.