East Tennessee State University
Individual Payee ACH/Direct Deposit Authorization

A thorough review of the information below will minimize any delays in the processing of your form and ensure a timely processing of any payments to you from ETSU via direct deposit.

Why do I need to submit this form?

• This form is necessary to establish your bank information in our eProcurement system in order to issue payments to you via direct deposit OR update your existing bank information with ETSU.
  
  
• If you are a non-US citizen and do not have a US bank account, this form is not necessary. Please submit a W-8 BEN form to your ETSU correspondent.

How do I get access to this form?

• If you have already completed this step:
  • Please continuing reviewing the rest of the additional information below.
    • Then click the link below.
      • Login with the username and password you created in the Dynamic Forms system to submit the form.
        • (You should have received a confirmation email after you created your Dynamic Forms account.)
          
          
• If you have NOT already completed this step:
  • Please continuing reviewing the rest of the additional information below.
    • Then click the link below.
      • Select the “Create New Account” link from the Dynamic Forms login webpage to create your free Dynamic Forms account.
        • You will receive a confirmation email and you will need to then activate your Dynamic Forms account.
        • You will then be able to login and submit your information.

What do I need to know in order for me to help streamline this process?

• Tips:
  • Input EIN/SSN without dashes (example: 123456789, not 123-45-6789)
    
    
  • You will need to attach a completed and signed W9 & voided check/bank letter, please have those ready as PDF or image files when you are ready to submit the application.
    
    
  • DO NOT opt-out of e-signature at the end of the application:
    • You must submit this form by providing your electronic signature in order for it to be accepted as an official authorization of payment by direct deposit.
      • You will receive a confirmation email after you provide your electronic signature and submit the form.
        • There is no need to contact ETSU to confirm the receipt of this form if you receive your confirmation email after submitting the form.
    • If you select opt-out, you will be required to FILL OUT THIS ENTIRE FORM FROM SCRATCH AGAIN in order to resubmit it with your electronic signature.

To proceed to the ETSU Individual Payee ACH/Direct Deposit Authorization, please click the link below:
https://dynamicforms.ngwebsolutions.com/Submit/Start/871acdee-1fe2-4940-acf0-f8d51a3e1137?SSO=N