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 entries and, if necessary, debit entries for payment purposes. The authorization remains in effect until the vendor submits written cancellation to the Comptroller Department. Vendors are required to provide their complete financial institution information, including the institution name, account type (checking, savings, or other), routing/ABA number, and account number. Vendors must notify the Comptroller Department immediately if they close or change their bank account.

The form applies to the Tanglewood Fencing Work project at Clay County's Tanglewood Park located at 1466 Gifford Avenue, Orange Park, Florida 32065, where Clay County is soliciting quotes from qualified contractors for fencing repairs and installations at multiple playing fields. This EFT form serves as the required mechanism for electronic payment processing and must be completed and signed by authorized representatives of individual contractors, businesses, or vendors prior to contract award and payment authorization.