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 credits and, if necessary, debit entries and adjustments for credit entries made in error. The authorization remains effective until the vendor submits written cancellation to the Comptroller Department. Vendors must immediately notify the Comptroller Department if they close or change their bank account. The form requires vendors to provide their financial institution name, account type (checking, savings, or other), transit/ABA/routing number, and account number. Individuals may obtain complete EFT information from their financial institution via direct deposit letters or voided checks, while businesses and vendors should contact their financial institution for complete ACH/EFT information before completion.

The form requires an authorized signature and date of execution. This EFT authorization form is associated with the Orange Park Neighborhoods Milling and Resurfacing project, a Clay County road improvement initiative in Orange Park, Florida, which involves milling existing asphalt pavement, placement of asphaltic concrete, tack coat application, pavement markings, traffic maintenance, and cleanup on multiple residential roadways. Successful bidders on this project would need to complete the EFT authorization form to receive contract payments through electronic fund transfer.