ESBD_456628_1758724345151_SOL_EXH_F.5_Direct Deposit Authorization Form.pdf

This document is a Direct Deposit Authorization form issued by the State of Texas for vendors, individual recipients, or state employees to set up or modify electronic 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 is designed to facilitate electronic payments from the Texas Comptroller of Public Accounts to the payee's designated financial institution.

The form requires detailed information including payee identification (state employee or vendor), financial institution details (routing number, account number, account type), and authorization signatures. It includes sections for new account setup, existing account changes, international payment verification, and agency-specific contact information. The form provides options for checking or savings accounts and requires verification that payments will not be forwarded to financial institutions outside the United States. Completion of the form ensures compliance with the National Automated Clearing House Association's rules and the Texas Comptroller of Public Accounts' payment guidelines.