ESBD_429501_1750371585544_SOL_EXH_F.4_DIRECTDEPOSIT.pdf

This document is a Direct Deposit Authorization form for 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 a new direct deposit account, change financial institutions, update account numbers, or cancel existing direct deposit arrangements. The form is comprehensive, spanning two pages and including detailed instructions for completion across eight distinct sections covering transaction types, payee identification, new account information, existing account changes, international payment verification, and authorization details.

The form requires specific information such as payee type (state employee or vendor), identification numbers, financial institution details, routing and account numbers, and account type (checking or savings). It includes mandatory sections for authorization, with the payee required to sign and confirm understanding of payment rules and error correction procedures. The form also provides contact information for state employees, vendors, and state agencies, with specific guidance for completing each section and a federal privacy act statement noting the purpose of collecting individual identification information.