EFT_FORM.pdf

PDF 418 KB Posted

Attached to
Mobile Trailers for Firefighter Gear Storage
Solicitation number
25/26-073
Issued by
Clay County, Harold CDP, Florida

About this file

This is an Electronic Funds Transfer (EFT) Authorization Form issued by the Clay County Clerk of Court and Comptroller in Florida for use by vendors and contractors conducting business with Clay County. The form authorizes Clay County's Comptroller and the vendor's financial institution to initiate electronic fund transfers, including credits, debits, and adjustments for erroneous entries. The authorization remains in effect until the vendor submits written cancellation to the Comptroller Department. Vendors must provide complete banking information including the financial institution name, account type (checking, savings, or other), routing/ABA number, and account number. Individuals are advised to contact their financial institutions for direct deposit or EFT letters or voided checks if unsure of their complete information, while businesses and vendors should consult their institutions for complete ACH/EFT information. The form requires an authorized signature and date.

This EFT form is a standard administrative requirement for Clay County vendors and is directly related to the county's Request for Bids for four enclosed cargo trailers for firefighter gear storage. Vendors bidding on or awarded contracts with Clay County must complete this form to receive payment through electronic fund transfer, which is the county's preferred payment method. Vendors are instructed to notify the Comptroller Department immediately if they close or change their bank account to ensure uninterrupted payment processing. The form serves as the authorization document necessary for establishing the electronic payment relationship between Clay County and its vendors.

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Text version

Clay County Clerk of Court and Comptroller

EFT Authorization Form

Individual/Business/Vendor Name: (Please Print)

Phone Number:

Email:

I/We hereby authorize Clay County Comptrollers and the financial institution listed below to initiate electronic credits, and, if necessary, debit entries and adjustments for any credit entries in error. This authority will remain in effect until I cancel it in writing to the Comptroller Department. *Notify the Comptroller Department immediately if you close or change Bank Account*

Account Information:

Financial Institution:

Type of Account (please circle one): Checking Savings Other:______________

Transit / ABA / Routing #:

Account Number:

*Individuals: If you are unsure of your complete EFT information please contact your financial institution. In most cases, your financial institution can provide you with a direct deposit/EFT letter or a voided check.

Businesses/Vendors: Please check with your financial institution for your complete ACH/EFT information.

Authorized Signature:_______________________________ Date: ___________

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