ESBD_446612_1755286885304_SOL_EXH_F.4_DIRECTDEPOSIT.pdf

PDF 742 KB Posted

Attached to
Computerized Pre-Employment Tests (COTS) State and local contract opportunity
Solicitation number
405-25R0015894A
Issued by
Travis County, Austin City, Austin City, Austin City, Austin City, 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 provides multiple transaction type options including new setup, changing financial institutions, changing account numbers, and cancellation. It requires detailed information across several sections such as payee identification, new account details, existing account information, and international payment verification.

The form is structured with eight distinct sections that guide the user through providing comprehensive banking and payment information. Key requirements include entering routing numbers, customer account details, account types (checking or savings), and authorization signatures. The form includes optional fields for financial representative information and requires verification of whether payments will be forwarded to a financial institution outside the United States. Contact information is provided for state employees, vendors, and state agencies to assist with completing the form, with specific guidance for different types of users in the bottom section of the second page.

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