ESBD_441629_1753999415081_SOL_EXH_F.6_25R0012647 Direct Deposit.pdf

PDF 742 KB Posted

Attached to
Lubbock Generators – Maintenance
Solicitation number
405-25R0012647
Issued by
Henderson County, Texas

About this file

This document is a Direct Deposit Authorization form from the State of Texas, designed for state employees, vendors, or other recipients to set up, change, or cancel direct deposit payment information. The form contains multiple sections requiring detailed information about the payee, including transaction type selection, identification details, banking information, and authorization for electronic payment processing. The form provides spaces for entering routing numbers, account types (checking or savings), financial institution details, and requires signatures to authorize the setup, changes, or cancellation of direct deposit arrangements.

The form includes comprehensive instructions for completing each section, with specific guidance for state employees, vendors, and state agencies. It mandates verification of international payment destinations and includes provisions for agency-side cancellation and contact information. The document emphasizes compliance with state financial regulations, specifically referencing the Texas Comptroller of Public Accounts' rules and the National Automated Clearing House Association's guidelines. The form also includes a Federal Privacy Act Statement, indicating the purpose of collecting personal identification information and the legal basis for such collection.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

File details come from the government source that posted it. Updated .