ESBD_480462_1767738264747_SOL_EXH_F.4_Direct Deposit Authorization Form (74-176).pdf

This is a Direct Deposit Authorization Form (Form 74-176) related to the iVe Toolkit contract opportunity in Texas. The form serves as a standard authorization document for establishing direct deposit arrangements for payments. The form captures essential banking information required to process electronic fund transfers, including employee or vendor identification details, financial institution routing numbers, account numbers, and account type designations. This authorization form would be completed by the selected contractor or their authorized representatives as part of the contract execution process to facilitate payment processing through electronic means rather than physical check distribution.

The form contains standard fields for banking institution details, account holder information, and authorization signatures. No specific pricing terms, set-aside provisions, incumbent information, or funding sources are detailed within this authorization form itself, as it functions as an administrative document to enable payment processing rather than define contract financial terms. The direct deposit authorization would typically be required as a prerequisite for contract performance and payment initiation following contract award.