ESBD_430140_1750709971033_SOL_EXH_F.6_Direct Deposit.pdf

PDF 742 KB Posted

Attached to
Life Safety Services Contract
Solicitation number
405-25R0017340
Issued by
Travis County, Austin City, Texas

About this file

The 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, update account numbers, or cancel existing direct deposit arrangements. It provides comprehensive sections for payee identification, new account information, existing account details, and international payment verification, with spaces for routing numbers, account types, and authorized signatures.

The form requires detailed information including financial institution name, routing and account numbers, account type (checking or savings), and authorization signatures. It includes provisions for both state employees and vendors/recipients, with specific sections for agency use in cancellation or contact purposes. The document emphasizes compliance with state payment regulations, including the ability to reverse erroneous deposits and adherence to the National Automated Clearing House Association's rules. The form also contains a Federal Privacy Act Statement on the second page, highlighting the legal framework for collecting and using personal information.

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