Authorization for Electronic Funds Payment Form~1.pdf

This is an Authorization for Electronic Funds Payment Form related to the Middlesex Sheriff's Office (MSO) in Massachusetts. The document pertains to the procurement of Medication Assisted Treatment (MAT) Program Services for the Middlesex Jail and House of Correction located in Billerica, Massachusetts. The form establishes the procedural framework for electronic funds disbursement associated with the selected vendor's service delivery, ensuring compliance with Commonwealth of Massachusetts procurement policies and the MSO's financial management protocols.

The electronic funds payment authorization form serves as a critical administrative document that facilitates secure and efficient payment processing for the awarded vendor upon service delivery and invoice submission. This form likely contains standardized banking information fields, authorization signatures, and payment verification procedures required by the Commonwealth. As an electronic payment mechanism, it streamlines the financial transaction process while maintaining appropriate fiscal controls and audit trails. Prospective vendors interested in this opportunity should contact Haley Looney at 781-960-2839 or hlooney@sdm.state.ma.us to obtain complete RFR (Request for Response) documents and additional procurement specifications.