ESBD_433427_1751561285479_SOL_EXH_F.4_Direct Deposit Authorization Form.pdf

This document is a State of Texas Direct Deposit Authorization form 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. The form requires detailed information including payee identification, banking details, routing numbers, and account types (checking or savings).

The form includes multiple sections for comprehensive financial information verification, including an international payments section where payees must indicate whether payments will be forwarded to a financial institution outside the United States. Authorization requires the payee's signature confirming understanding of deposit procedures, error corrections, and compliance with the National Automated Clearing House Association's rules. The document provides contact information for state employees (agency Human Resources), vendors/recipients (paying agency's accounts payable staff), and state agencies (Fiscal Management Department) for questions or assistance in completing the form.