ESBD_436220_1752693363413_SOL_EXH_F.4_Direct Deposit.pdf
PDF 742 KB Posted
- Solicitation number
- 405-25R0023119
- Issued by
- Texas
About this file
This document is a Direct Deposit Authorization form issued by the State of Texas for vendors, individual recipients, or state employees to set up or modify direct deposit payment information. The form allows users to establish new direct deposit accounts, change financial institutions, update account numbers, or cancel existing direct deposit arrangements. It requires detailed information including payee identification, financial institution details, routing numbers, account types (checking or savings), and includes sections for both new account setup and existing account changes.
The form includes mandatory sections for international payment verification, authorization for setup or changes, and potential agency cancellation. It provides specific instructions for completing each section, with recommended completion by the financial institution. The document emphasizes compliance with the National Automated Clearing House Association's rules and requires authorized signatures. Contact information is provided for state employees, vendors/recipients, and state agencies to handle questions or process the direct deposit authorization, with references to privacy act statements and government code chapters governing information handling.
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