ESBD_465684_1761655443577_SOL_EXH_F.5_Direct Deposit.pdf
PDF 742 KB Posted
- Attached to
- SOR POSTCARD NOTIFICATION SERVICES
- Solicitation number
- 405-25R0020755
- Issued by
- Comal County, Gregg County, Harris County, Houston City, Texas
About this file
This document is a Direct Deposit Authorization form from the State of Texas, designed for state employees, vendors, and other recipients to set up, change, or cancel direct deposit payment information. The form allows individuals to provide new account details, change financial institutions, update account numbers, or modify existing direct deposit arrangements. The form is comprehensive, covering sections for transaction types, payee identification, new account information, existing account changes, international payment verification, and authorization for setup or cancellation.
The form requires detailed information including financial institution name, routing number, customer account number, account type (checking or savings), and includes sections for both the payee and the state agency to complete. There are specific instructions provided on the second page of the document, outlining the requirements for each section and explaining the purpose of various fields. The form also includes a Federal Privacy Act Statement noting that providing certain identification numbers is required for administration and identification purposes, with contact information provided for state employees, vendors, and state agencies who may need assistance completing the form.
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