ESBD_459692_1759777721583_SOL_EXH_F.4_Direct Deposit Authorization Form.pdf

This document is a Direct Deposit Authorization form from the State of Texas for vendors, individual recipients, or state employees to set up or modify direct deposit payment information. The form allows users to perform various transaction types including new setup, changing financial institutions, changing account numbers, or canceling existing direct deposit arrangements. It provides comprehensive sections for payee identification, new account information, existing account details, and international payment verification.

The form requires detailed information such as payee type (state employee or vendor), identification numbers, financial institution details, routing numbers, and account types (checking or savings). It includes mandatory authorization sections where the payee acknowledges understanding of payment procedures, error corrections, and compliance with the National Automated Clearing House Association's rules. The document is designed to facilitate electronic payments from the Texas Comptroller of Public Accounts, with specific instructions for completing each section and contact information for state employees, vendors, and state agencies who may need assistance.