Direct Deposit Authorization Form Vistant requires all v endors to complete this form in order to establish an electronic payment method. Vistant requires payees to receive payments electronically. P ayments will be deposited into the checking or savings account of your choice. You may also elect to receive email notifications of direct deposit. To receive payments electronically, please complete this form and return to (need to determine where that is secure) upload this form along with a voided check or official bank letter to the Vistant This form authorizes ACH or Wire Transfer (specific International Requirements) deposit payments . Account Holder Name: Federal I D (TIN/SSN): Bank Name: Bank Routing Number: Account Number: Checking Savings Remit Address of Vendor : Email address for payment notification: Authorized Signature Printed Name: Date: Direct Deposit Authorization Form for Vendors Revised 6/15/2023