EFT_FORM.pdf

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, businesses, and individuals conducting business with Clay County. The form authorizes Clay County's Comptroller Department and the vendor's financial institution to initiate electronic credits and, if necessary, debit entries and adjustments for erroneous transactions. The authorization remains in effect until the vendor provides 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 requires an authorized signature and date for execution.

Vendors are instructed to notify the Comptroller Department immediately if they close or change their bank account during the contract performance period. Individuals are advised to contact their financial institution for complete EFT information, which can typically be obtained through a direct deposit letter or voided check. Businesses and vendors should similarly verify their ACH/EFT information with their financial institutions prior to form submission. This form is a standard requirement for vendors seeking payment through electronic transfer methods from Clay County, including those bidding on the Grapple/Roll-Off Container Service contract for the County's Environmental Convenience Centers and Rosemary Hill Solid Waste Management Facility.