Authorization for Electronic Funds Payment Form.pdf

This is an Authorization for Electronic Funds Payment Form associated with the Middlesex Sheriff's Office in Massachusetts, which is soliciting responses for Medication Assisted Treatment (MAT) Program Services at the Middlesex Jail and House of Correction in Billerica, MA. The form establishes the procedural framework for electronic payment processing between the Commonwealth of Massachusetts and selected vendors providing MAT program services. The document outlines the mechanisms through which the Middlesex Sheriff's Office will authorize and process electronic fund transfers to service providers, ensuring compliance with Massachusetts procurement regulations and financial administration requirements. Interested vendors should contact Haley Looney at 781-960-2839 or hlooney@sdm.state.ma.us to obtain complete Request for Response (RFR) documents and additional solicitation details.

The electronic funds payment authorization establishes the financial infrastructure and payment procedures that successful vendors must accept as a condition of contract award. This form ensures that all payments for MAT program services will be processed through electronic means in accordance with Commonwealth of Massachusetts policies and procedures. Vendors must be prepared to provide banking information and authorize electronic fund transfers as part of the contract execution process. The standardization of electronic payment processing facilitates timely reimbursement and maintains fiscal accountability for the Middlesex Sheriff's Office procurement operations.