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Generic direct deposit form 2026
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- Click ‘Get Form’ to open the generic direct deposit form in the editor.
- Begin by reading the terms and conditions on the back of the form to ensure you understand your agreement.
- Fill in your personal information, including your last name, first name, employee ID number or Social Security number, and contact details.
- Indicate the action you wish to take: New, Change, or Cancel. Specify the effective date for any changes.
- Provide your financial institution's name, account number (ensure it is accurate), and routing transit number. Remember that all nine boxes of the routing number must be filled correctly.
- Select the type of account (Checking or Savings) and indicate ownership (Self, Joint, Other).
- Sign and date the form to authorize Fringe Benefits Management Company (FBMC) for direct deposits. If applicable, have any joint account holders sign as well.
- Finally, fax or mail the completed form to FBMC using the provided contact information.
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Related links
This form is to be used for employees new to direct deposit. This form may also be used for employees changing the account to which their paycheck is deposited.
This form may be used by vendors, individual recipients or state employees to receive payments from the state of Texas by direct deposit or to change/cancel