ESBD_446814_1755611736335_SOL_EXH_F.6_Direct Deposit Authorization Form.pdf

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Attached to
Aircraft Managment Solution
Solicitation number
405-25R0011573A
Issued by
Texas

About this file

This is a Direct Deposit Authorization form for 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 comprehensive sections for payees to input transaction types, personal identification details, new account information, existing account modifications, and international payment verification. It requires detailed information such as financial institution details, routing numbers, account types, and includes authorization sections for both the payee and potentially the state agency.

The form is structured with eight distinct sections that guide users through the direct deposit setup process, including mandatory fields for identification, banking details, and signature authorizations. It includes optional fields for financial representatives and contact information, and provides specific instructions for completing each section. The form also includes contact information for state employees, vendors, and state agencies to seek assistance, with separate contact numbers for state employees' human resources departments and vendor payment staff. A Federal Privacy Act Statement is referenced, indicating the purpose of collecting personal information for administrative and identification purposes.

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