East Tennessee State University
Vendor ACH/Direct Deposit Change 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 in order to update ONLY the banking information on file at ETSU for your company/organization.
  • This form should NOT be used if more than your company/organization's bank information has changed.
    • If your company/organization name and/or tax ID has also changed, you must submit an ETSU Vendor Application as a new supplier.
      • Please visit https://www.etsu.edu/bf/forms.php#vendors to access the ETSU Vendor Application.
           
        
• ETSU will make a fraud prevention phone call for verification purposes prior to changing any bank account information.
  • This call will be placed to the phone number previously on file at ETSU for your company/organization.
    • There are no exceptions to this requirement.

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 Vendor ACH/Direct Deposit Change Authorization, please click the link below:
https://dynamicforms.ngwebsolutions.com/Submit/Start/28e2ad04-9723-4b0c-a806-08c232c05304?SSO=N