eft_form.doc
DOC document 100 KB Posted
- Attached to
- E-Licensing
- Solicitation number
- S116333-vCurrent
- Issued by
- Middlesex County, Suffolk County, Boston City, Chelsea City, Massachusetts
About this file
This document is an Electronic Funds Transfer (EFT) form for the Commonwealth of Massachusetts. It allows vendors to sign up to receive payments from the state via direct deposit instead of physical checks. The form requires the vendor to provide their tax identification number, vendor name, contact information, and bank account details including the bank name, routing number, account number, and account type (checking or savings). Vendors must complete this form and submit it to the appropriate department they do business with in order to receive electronic payments from the state.
The form does not contain any information about a specific state or local contract opportunity. It is focused solely on the process for vendors to sign up for electronic payments from the Commonwealth of Massachusetts.
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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 .