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Glenn Hegar  ·  Texas Comptroller of Public Accounts

Payment Services Forms (Alphabetical)

Name Number Description
74-227
Used by agencies who must require payees to confirm whether their state payments are destined to be forwarded outside of the U.S.
74-189
Used by agencies to authorize personnel to pick up warrants.
AP-152
Used by agencies to obtain necessary information from payees to set up a Texas Identification Number (TIN).
74-188
Used by agencies requesting to report state debts or change existing hold agency information.
74-190
Used as an agreement between a state agency and the Comptroller’s office that allows the agency to receive post-dated payroll warrants before payday
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Used by agencies to request the daily debtor hold extract file.
74-176
Used by agencies to provide to payees who wish to receive state payments by direct deposit or change/cancel existing direct deposit information.
74-229
Used by agencies to request an ACH trace number for a state direct deposit payment.
74-191
Used by agencies to request an erroneous direct deposit payment be reversed through the Automated Clearing House (ACH) system.
74-224
This form is used by employees to sign up to receive payroll payments through the Employee PayCard program.
74-157
Used by agencies requesting updates to payee information in the Texas Identification Number System (TINS); may be provided by the agencies to their payees.
74-154
Used by a hold source agency to set up, change or release hold information for a state debtor.
73-179
Used by agencies to request cancellations of forged warrants that are reinstated or for post-dated payroll deduction warrants.
74-226
Used by a agencies upon notification of a payee’s death to reclaim a pension, annuity or benefit payment made by direct deposit for which the payee or its estate was not entitled.
74-216
Used by agencies to apply for a special payee identification number for low dollar, one-time payments to multiple payees.
74-221
Used by the Comptroller’s Revenue Accounting Division to provide to taxpayers who wish to receive tax refund payments by direct deposit.
00-432
Used by a hold source agency to authorize the release of a held warrant.
Glenn Hegar
Texas Comptroller of Public Accounts
Questions? Contact statewide.accounting@cpa.texas.gov
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