EFT_FORM.pdf
PDF 418 KB Posted
- Attached to
- Fire Station 17 Shower Remodel
- Solicitation number
- 25/26-098
- Issued by
- Clay County, Orlando City, 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. The form is required for vendors and contractors doing business with Clay County to establish direct deposit capabilities for payment processing. The form collects vendor information including business name, contact details, and complete banking information such as financial institution name, account type, routing number, and account number. Vendors must provide authorized signatures and dates to activate the EFT arrangement, which remains in effect until the vendor submits written cancellation to the Comptroller Department. The form emphasizes that vendors must notify the Comptroller Department immediately if they close or change their bank account to ensure uninterrupted payment processing.
This authorization form is directly associated with the Fire Station 17 Bathroom Renovation project, a construction contract being solicited by the Clay County Board of County Commissioners for work located at 3394 Peoria Road, Orange Park, Florida 32065. All qualified contractors bidding on this project must complete the EFT Authorization Form as part of the procurement requirements to be eligible for payment if selected as the winning bidder. The form serves as a standard administrative requirement for Clay County vendor management and ensures that contract payments are processed efficiently through electronic funds transfer rather than check payments.
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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 .