EFT_FORM.pdf

PDF 418 KB Posted

Attached to
Annual Roadway Striping and Pavement Marking Services
Solicitation number
25/26-104
Issued by
Clay County, Harold CDP, Florida

About this file

This Electronic Funds Transfer (EFT) Authorization Form is issued by the Clay County Clerk of Court and Comptroller in Florida and is required for vendors and contractors conducting business with Clay County. The form authorizes Clay County's Comptroller Department and the vendor's designated financial institution to initiate electronic credit deposits and, if necessary, 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 their financial institution information, including the institution name, account type (checking, savings, or other), routing/ABA number, and account number. The form emphasizes that vendors must immediately notify the Comptroller Department if they close or change their bank account to prevent payment disruptions.

Completion of the EFT Authorization Form is a prerequisite for receiving payments from Clay County for contracted services, including the Annual Roadway Striping and Pavement Marking Services opportunity. Vendors and businesses are advised to contact their financial institution directly to obtain accurate EFT information, such as direct deposit letters or voided checks, to ensure proper account details are submitted. Individual vendors should also verify their complete EFT information with their financial institution before completing the form. Once properly executed with authorized signature and date, the form enables Clay County to process vendor payments electronically, streamlining the payment process for both the County and the contractor.

View the file

Other files

File Type Posted
Annual_Roadway_Striping_and_Pavement_Marking_Services.pdf PDF
W-9_(2024).pdf PDF
Warranty_Letter_.pdf PDF
Certificate_of_final_payment.pdf PDF
Chapter_8_Section_I.pdf PDF
Certificate_of_partial_payment.pdf PDF
Owner_Direct_Purchase_Program.pdf PDF
Performance_&_Paymt_Bond.doc DOC document

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .