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.
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