ESBD_445268_1755028726079_SOL_EXH_F.5_Direct Deposit Authorization Form.pdf

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 provides multiple transaction type options including new setup, changing financial institutions, changing account numbers, and cancellation. It requires detailed information across several sections, including payee identification, new account details, existing account information, and international payment verification.

The form is structured to capture comprehensive banking and payment details, with sections for routing numbers, account types (checking or savings), and authorization signatures. The form includes instructions for completion, emphasizing the need for accurate information and compliance with the Texas Comptroller of Public Accounts' rules. It provides contact information for state employees, vendors, and state agencies to seek assistance with the direct deposit process, and includes a federal privacy act statement noting the purpose of collecting personal identification information.