ESBD_459158_1759439950662_SOL_EXH_F4_Direct Deposit Authorization - 74-176.pdf
PDF 796 KB Posted
- Attached to
- FY26 SOFPULL PAPER TOWEL
- Solicitation number
- 405-26R0001562
- Issued by
- Harris County, Texas
About this file
The document is a Direct Deposit Authorization form from the State of Texas for setting up, changing, or canceling direct deposit payment information. The form allows state employees, vendors, and other recipients to provide or update their banking details for receiving state payments electronically. It includes multiple sections for transaction types, payee identification, new account information, existing account information, and international payment verification.
The form requires detailed information such as the payee type (state employee or vendor), identification numbers, financial institution details, routing numbers, and account types (checking or savings). The form emphasizes authorization and verification, with sections for the payee's signature and optional sections for financial representatives. There are specific instructions for completing each section, and contact information is provided for state employees, vendors, and state agencies who may need assistance in completing the form.
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