EFT_FORM.pdf

This is an Electronic Funds Transfer (EFT) Authorization Form from the Clay County Clerk of Court and Comptroller in Florida, designed for vendors and contractors conducting business with Clay County. The form authorizes Clay County's Comptroller's office and the vendor's designated financial institution to initiate electronic credits and, if necessary, debit entries and adjustments for any erroneous credit 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. The form requires an authorized signature and date from the individual or business representative.

Vendors and contractors are advised to contact their financial institution directly to obtain complete and accurate EFT information, as errors in banking details can delay payment processing. Individuals may request direct deposit or EFT letters or provide a voided check as documentation, while businesses and vendors should request complete ACH/EFT information from their banks. The vendor is responsible for notifying the Comptroller Department immediately if the designated bank account is closed or changed. This form is a prerequisite for receiving payment from Clay County for contracted services, including the Public Works Stormwater Structure and Box Seal project involving manhole rehabilitation at multiple county locations.