ESBD_445473_1755035020820_SOLICIEXH_F.4_Direct Deposit Authorization Form.pdf

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

The form requires detailed information including financial institution details (routing number, account number, account type), payee identification (state employee or vendor), and authorization signatures. It includes optional fields for contact information and provides instructions for completing each section. The form is designed to ensure accurate electronic payment processing by the Texas Comptroller of Public Accounts, with built-in safeguards such as error reversal provisions and compliance with the National Automated Clearing House Association's rules.