eft_form.doc

DOC document 100 KB Posted

Attached to
Hotline Answering and Processing Service
Solicitation number
S103167-vCurrent
Issued by
Norfolk County, Quincy City, Massachusetts

About this file

This document is an Electronic Funds Transfer (EFT) form from the Commonwealth of Massachusetts. The form allows vendors to register for direct deposit of payments from the state by providing their banking information, including bank name, transit number, account number, and account type (checking or savings). Vendors must complete the form and mail it to the department with which they do business. The form does not contain any details about a state or local contract opportunity.

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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 .