Ta-w5206 electronic payment authorization 2026

1. Click ‘Get Form’ to open the ta-w5206 electronic payment authorization in the editor.
2. In Part A, enter your Payee Name, Federal Employer ID No., and contact details including address, phone number, and email for remittance notification. Ensure all fields are filled accurately.
3. Select the type of account (Checking or Savings) and provide the Account No. and Routing No. Make sure this information is correct as it will be used for electronic payments.
4. The Chief Financial Officer (CFO) must print their name, sign, and date the form at the bottom of Part A to authorize the payment setup.
5. Part B requires certification from your Financial Institution. Ensure they complete this section and mail the form directly to NYS DOT as instructed.

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