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, designed for state employees, vendors, or other recipients to set up, change, or cancel direct deposit payment information. The form allows individuals to provide new account details, change financial institutions, modify existing account numbers, or update account types (checking or savings). It includes sections for payee identification, new account information, existing account details, and international payment verification.

The form requires comprehensive financial and personal information, including identification numbers (such as Social Security number or Texas Identification Number), financial institution details (routing number, account number), and authorization signatures. It provides instructions for completing each section and specifies requirements for different transaction types. The form is intended to ensure accurate and secure electronic payment processing by the Texas Comptroller of Public Accounts, with provisions for error correction and compliance with the National Automated Clearing House Association's rules.