EFT_FORM.pdf

PDF 418 KB Posted

Attached to
Jail Recreation Yard Waterproofing
Solicitation number
26/27-002
Issued by
Clay County, Harold CDP, 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, applicable to a Jail Recreation Yard Waterproofing project. The form serves as authorization documentation for vendors and contractors to receive electronic payments from Clay County through direct deposit mechanisms. The project itself involves waterproofing two existing exterior recreation yards at the county jail, repairing damaged concrete within the sally port, and completing necessary repairs to confinement cells to address water intrusion, deterioration, and maintain safe operating conditions. Bidders must submit all inquiries through the designated Question and Answer tab of the Request for Bids, and are prohibited from contacting county officials, board members, or evaluation committee members outside of formal pre-bid conferences or evaluation presentations during the Request for Bid Period, which extends from publication through the 72-hour bid protest period.

The EFT form requires vendors to provide complete banking information including financial institution details, account type, routing number, and account number to facilitate electronic payment processing. All vendors awarded contracts must execute this authorization form and immediately notify the Comptroller Department of any changes to banking information or account closures. The form represents a standard administrative requirement for doing business with Clay County and establishes the mechanism through which the contractor will receive payment for services rendered on the jail waterproofing and repair project.

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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 .