ESBD_453818_1757961365841_SOL_EXH_F.6_Direct Deposit Authorization Form.pdf
PDF 742 KB Posted
- Attached to
- Lab DNA Outsourcing
- Solicitation number
- 405-25R0016527
- Issued by
- 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 a comprehensive template for individuals to authorize electronic payments from the Texas Comptroller of Public Accounts to their chosen financial institution. It includes sections for transaction types, payee identification, new account information, existing account changes, international payment verification, and authorization for setup, changes, or cancellation.
The form requires detailed information such as the payee type (state employee or vendor), identification numbers, financial institution details, routing and account numbers, and account type (checking or savings). It includes provisions for forwarding payments internationally and requires the payee's signature to authorize the electronic deposit. The document also provides instructions for completing each section, contact information for state employees and vendors seeking assistance, and a Federal Privacy Act Statement explaining the purpose of collecting personal information.
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