EFT_FORM.pdf

The document is an Electronic Funds Transfer (EFT) Authorization Form issued by the Clay County Clerk of Court and Comptroller in Florida. This standard form allows individuals, businesses, or vendors to provide their banking information to enable electronic payments from the county. The form requires details such as the account holder's name, contact information, financial institution, account type (checking, savings, or other), routing number, and account number. The authorization permits Clay County Comptrollers to initiate electronic credits and, if necessary, make debit adjustments for any erroneous credit entries.

The form includes important instructions for both individuals and businesses, recommending they verify their complete EFT information with their financial institution. A direct deposit/EFT letter or voided check can help confirm the correct routing and account details. The authorization remains in effect until cancelled in writing, and the form emphasizes the importance of notifying the Comptroller Department immediately if the bank account is closed or changed. An authorized signature and date are required to validate the form, which will enable the county to process electronic payments to the specified bank account.