ESBD_423418_1748445917782_SOL_EXH_F.4_DIRECTDEPOSIT.pdf

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 direct deposit accounts, change financial institutions, modify account numbers, or cancel existing direct deposit arrangements. It requires detailed information including payee identification, financial institution details, routing numbers, account types (checking or savings), and includes sections for both new account setup and existing account changes.

The form includes mandatory sections for international payment verification, authorization for setup or changes, and optional sections for agency cancellation and contact information. Critically, the document emphasizes compliance with the National Automated Clearing House Association's rules and requires an authorized signature to validate the direct deposit request. The form provides contact information for state employees (through their agency's Human Resources department), vendors (through the paying agency's payable staff), and state agencies (through the Fiscal Management Payment Services), ensuring multiple channels for support and verification of direct deposit information.