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TINS Direct Deposit

Lesson 2: Direct Deposit Forms

Direct Deposit Authorization Form (74-176)

This form is used by vendors, employees and individual recipients to:

  • Receive payments from the state of Texas by direct deposit
  • Change or cancel existing direct deposit information

Form 74-176

form 74-176

Key Sections

  • Section 1 – Transaction Type: Depending on the transaction type(s) selected, complete the sections as indicated.
  • Sections 3 & 4 – New and Existing Account Information: Be sure the numbers provided are legible.
  • Section 5 – International Payments Verification: Special handling is required for payments that are to be forwarded to a financial institution outside of the United States.
  • Section 6 – Authorization for Setup, Changes or Cancellation: A signature is required for processing.

Note: The payee's signature, bank account information and answer to the international payments verification must be provided to correctly process the form.

Next: Advance Payment Notification