ESBD_434426_1752097506443_SOL_EXH_F.4__Direct Deposit Authorization.pdf

This document is a Direct Deposit Authorization form from the State of Texas, specifically issued by the Texas Department of Public Safety. The form is designed to allow state employees, vendors, or other recipients to set up, change, or cancel direct deposit payment information. The form provides sections for transaction types, payee identification, new account setup, existing account changes, international payment verification, and authorization for setup or cancellation.

The form requires detailed information including financial institution details, routing numbers, account types (checking or savings), and contact information. It includes mandatory sections for authorized signatures and instructions for both the payee and the state agency. The document is to be returned to the Texas Department of Public Safety's Accounts Payable/Direct Deposit Program at 5805 North Lamar Boulevard in Austin, TX, with a contact phone number of 512-424-2060. The form follows standard government documentation protocols, with a second page providing comprehensive instructions for completing each section of the authorization form.