EFT_FORM.pdf

PDF 418 KB Posted

Attached to
Construction of Radar Road
Solicitation number
25/26-010
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 for use by contractors, vendors, and businesses engaged in county contracts. The form authorizes Clay County's Comptroller Department and the contractor's designated financial institution to process electronic fund transfers, including credits and debit adjustments for erroneous entries. The authorization remains in effect until the vendor submits written cancellation to the Comptroller Department. The form requires vendors to provide complete banking information including the financial institution name, account type (checking, savings, or other), transit/ABA/routing number, and account number. Vendors must notify the Comptroller Department immediately upon closing or changing bank accounts. The form is designed to streamline payment processing for contractors working on county projects, such as the Construction of Radar Road infrastructure project.

The EFT form serves as a mandatory requirement for payment processing and does not contain specific pricing terms, set-asides, or funding information. Contractors bidding on Clay County projects must complete and submit this authorization as part of their contract administration requirements. The form applies to all contractor categories—individuals, businesses, and vendors—and is essential for receiving electronic payment from the county. There are no renewal options or term conditions associated with the authorization form itself, as it remains valid until written cancellation is received. This administrative document facilitates timely and efficient payment distribution to successful bidders on county construction and service contracts.

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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 .