eft_form_080404.doc

DOC document 100 KB Posted

Attached to
Legal Services for DSS-Involved Children With Disabilities
Solicitation number
S108282-vCurrent
Issued by
Suffolk County, Boston City, Chelsea City, Massachusetts

About this file

The document provided is an Electronic Funds Transfer (EFT) Form from the Commonwealth of Massachusetts. This form allows vendors to sign up to receive payments from the state electronically. The form requires the vendor to provide their Taxpayer Identification Number (TIN), contact information, and bank account details to enable electronic fund transfers. Vendors must complete the form and mail it to the department they do business with. There are no details provided about a specific state or local contract opportunity.

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Text version

Electronic Funds Transfer Form: This is a representation of the online sign-up form. Please sign up online at: https://massfinance.state.ma.us/VendorWeb/eftRegisterfrm.asp

INCLUDEPICTURE "https://massfinance.state.ma.us/images/img_SubEndMenu.GIF" \* MERGEFORMATINET

INCLUDEPICTURE "https://massfinance.state.ma.us/images/img_EndMenu.GIF" \* MERGEFORMATINET

INCLUDEPICTURE "https://massfinance.state.ma.us/images/img_Line.gif" \* MERGEFORMATINET

HYPERLINK "https://massfinance.state.ma.us/VendorWeb/eftfaq.asp"

Electronic Funds Transfer You will need to print your Authorization for EFT Payments form. Please complete all fields below, generate the form, and mail to your contact at the Department you do business with.

AUTHORIZED PERSON

First Name:

Last Name:

VENDOR INFORMATION

TIN * :

Vendor Name:

Contact Name:

E-mail:

Telephone:

Address:

City:

State:

Zip: +

VENDOR BANK INFORMATION

Bank Name:

Transit Number:

Account Number:

Account Type:

Checking Account Saving Account

* TIN is your Vendor Tax Identification Number

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File details come from the government source that posted it. Updated .