EFT_FORM.pdf
PDF 418 KB Posted
- Attached to
- Fire Station No. 24 Site Clearing Services State and local contract opportunity
- Solicitation number
- 24/25-115
- Issued by
- Clay County, Harold CDP, Florida
About this file
The document is an Electronic Funds Transfer (EFT) Authorization Form from the Clay County Clerk of Court and Comptroller. The form is designed for individuals, businesses, or vendors to provide their banking information to enable electronic credit and debit transactions with the county. The form requires detailed account information, including the financial institution name, account type (checking, savings, or other), transit/routing number, and account number.
The form emphasizes the importance of accuracy and immediate notification to the Comptroller Department if the bank account is closed or changed. It provides guidance for individuals and businesses to verify their EFT information, recommending contact with their financial institution to obtain a direct deposit/EFT letter or a voided check. The authorization remains in effect until cancelled in writing by the account holder, and requires an authorized signature and date to be valid.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Addendum_#1_-_Gopher_Tortoise_Burrow_Locations.pdf | ||
| Fire_Station_No._24_Site_Clearing_Services_(Addendum_#3_Revision).pdf | ||
| Fire_Station_No._24_Site_Clearing_Services_(Addendum_#2_Revision).pdf | ||
| Standard_Protection_Measures_-_Eastern_Indigo_Snake_.pdf | ||
| Indigo_Snake_Poster.pdf | ||
| Indigo_Snake_Poster.pdf | ||
| Standard_Protection_Measures_-_Eastern_Indigo_Snake_.pdf | ||
| CC_FS_24_Tree_Clearing_Only_Set.pdf | ||
| CC_FS_24_Tree_Clearing_Only_Set.pdf | ||
| Certificate_of_partial_payment.pdf | ||
| Chapter_8_Section_I.pdf | ||
| Certificate_of_final_payment.pdf | ||
| EFT_FORM.pdf | ||
| Certificate_of_final_payment.pdf | ||
| Certificate_of_partial_payment.pdf | ||
| Chapter_8_Section_I.pdf | ||
| W-9_(2024).pdf | ||
| W-9_(2024).pdf |
Show all 18
On GovTribe
Work with this file on GovTribe
- 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 .