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Direct Deposit Processing
Direct Deposit Forms

The Comptroller’s office provides a direct deposit authorization form for optional agency use. Agencies may elect to use the Comptroller’s form or create their own form or electronic authorization method such as a self-service portal.

Instructions for Comptroller’s Direct Deposit Authorization Form

An agency that chooses to use the Comptroller’s form must download the most current version of the Direct Deposit Authorization form (74-176) (login required) PDF and:

The payee must complete the form and return it to the Paying Agency to:

Approval Required for Alternative Methods

Agencies may prefer to create their own direct deposit authorization form or electronic authorization method, which may include online applications as well as custom forms. The alternative form or method must:

Alternative methods must be submitted for approval to Payment Services before being implemented to ensure compliance with NACHA rules.

Authorization Form Retention

The custodial agency is required to retain the original or a scanned copy of the most current direct deposit authorization form for each payee, as well as the ACH (Direct Deposit) Payment Destination Confirmation form (74-227) (login required) PDF (if completed).

In accordance with NACHA rules, form retention is two years from the termination or revocation of the authorization.