ESBD_436209_1752686632600_SOL_EXH_F.4_25R0016524 920-45_DDA.pdf

This document is a Direct Deposit Authorization form from the State of Texas 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 provides comprehensive sections for payee identification, new account information, existing account details, international payment verification, and authorization for setup, changes, or cancellation.

The form requires detailed information including financial institution name, routing number, customer account number, account type (checking or savings), and mandatory authorization signatures. It includes provisions for both state employees and vendors/recipients, with specific instructions for completing each section. The document also provides contact information for state employees (agency human resources), vendors (paying agency's accounts payable staff), and state agencies (Contract Fiscal Management Services), along with a Federal Privacy Act Statement explaining the purpose of collecting identification information.