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Visitation, June 2023
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Instructions for Direct Deposit Authorization

Under Ch. 599, Government Code, you are entitled to review, request, and correct information we have on file about you, with limited exceptions in accordance with Ch. 552, Government Code. To request information for review or to request error correction, contact us at the address or telephone number listed on this form.

Transaction Type

Section 1: Employee Information

  • Enter your 9-digit Social Security Number
  • Enter the Unit or Department of assignment
  • Enter your name
  • Enter your work telephone number

Section 2: Financial Institution(s) for Account(s)

The primary account must be set up at 100%. If the primary account is cancelled, and the employee has a secondary account, the secondary account must be cancelled entirely.

The secondary account must be set up with a whole dollar amount.

Primary Account and/or Secondary Account

  • Check the appropriate transaction(s)

    • New Account
      • If employee is adding a primary account, secondary account, or both, employee completes Sections 1 and 3.

    • Change Account Issuer
      • Employee completes Sections 1 and 3.

    • Change Account Number
      • Employee completes Sections 1 and 3.

    • Change Account Type
      • Employee completes Sections 1 and 3.

    • Change Amount (SP2 only)
      • Employee completes Sections 1, 2, and 3.

    • Cancellation of PRIMARY ACCOUNT (SP1)
      If employee wishes to stop direct deposit to the PRIMARY ACCOUNT (SP1), complete Sections 1, 2 and 3. (Please note: Cancellation of PRIMARY ACCOUNT (SP1) only cancels the direct deposit to the PRIMARY account, not the SECONDARY account.) If the primary account is cancelled, and the employee has a secondary account, the secondary account must be cancelled entirely.

    • Cancellation of SECONDARY ACCOUNT (SP2)
      If employee wishes to stop direct deposit to the SECONDARY ACCOUNT (SP2), complete Sections 1, 2 and 3. (Please note: Cancellation of SECONDARY ACCOUNT (SP2) only cancels the direct deposit to the SECONDARY account, not the PRIMARY account.)

Section 3: Authorization for Setup, Changes, or Cancellation

  • The employee must sign and date the form.
  • No alterations to this section will be allowed.
  • Forms may be mailed to TDCJ Payroll Processing Department, P O Box 4015, Huntsville, TX 77342-4015
  • Forms may be faxed to (936) 437-8644
  • Forms may be e-mailed to payroll@tdcj.texas.gov
  • Retain a copy for your records. Questions can be referred to the Payroll Processing Department at the above address, by telephone at (936) 437-6281 or by e-mail to payroll@tdcj.texas.gov.

Page updated: 12/20/2022