ESBD_466482_1762193600782_SOL_EXH_F.5_Direct Deposit Authorization Form.pdf

This document is the State of Texas Direct Deposit Authorization Form (74-176), which is used by the State Comptroller's office to establish, modify, or cancel direct deposit arrangements for state payments to vendors, individual recipients, and state employees. The form facilitates electronic payment processing through the Texas Comptroller of Public Accounts system and does not involve a specific contract opportunity, project timeline, bidding process, or award date. Rather, it serves as an administrative instrument for managing payment distribution methods to financial institutions designated by payees.

The form requires payees to provide identification information, banking details including routing and account numbers, and authorization signatures to initiate or modify direct deposit arrangements. Completion by the financial institution is recommended to ensure accuracy of banking information. The document includes provisions for international payment verification, requiring payees with payments destined outside the United States to complete a separate ACH Direct Deposit Payment Destination Confirmation form. State agencies submitting the form on behalf of payees must comply with Texas Automated Clearing House Association rules and provide appropriate authorization. Questions regarding the form should be directed to the relevant department: Human Resources or payroll staff for state employees, accounts payable staff for vendors and recipients, or Fiscal Management and Payment Services for state agencies.