EFT_FORM.pdf

This is an Electronic Funds Transfer (EFT) Authorization Form issued by the Clay County Clerk of Court and Comptroller in Florida. The form authorizes Clay County's Comptroller Department and the vendor's designated financial institution to initiate electronic credit transfers for vendor payments, as well as debit entries and adjustments for erroneous credits. 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), transit/ABA/routing number, and account number. The form emphasizes that vendors must notify the Comptroller Department immediately if they close or change their bank account to ensure uninterrupted payment processing.

The form serves as a prerequisite administrative requirement for vendors seeking to do business with Clay County, Florida. Individuals are advised to contact their financial institution for complete EFT information and may obtain documentation such as direct deposit letters or voided checks to complete the form accurately. Businesses and vendors should similarly verify their ACH/EFT information with their financial institutions before submission. The authorization form requires the vendor's signature and date of execution and applies to the county's procurement activities, including the ongoing Cellular Professional Archiving FY25/26 contract opportunity for cloud-based mobile text message archival and records management services.