EFT_FORM.pdf
PDF 418 KB Posted
- Attached to
- Tile Replacement - Clay County Jail
- Solicitation number
- 25/26-005
- 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 individuals conducting business with Clay County. The form authorizes Clay County Comptroller's office and the contractor's designated financial institution to initiate electronic credits and, if necessary, debit entries and adjustments for payment purposes. The authorization remains in effect until the vendor submits written cancellation to the Comptroller Department. The form requires submission of complete banking information including the financial institution name, account type (checking, savings, or other), transit/ABA/routing number, and account number. Vendors are instructed to contact their financial institutions for accurate EFT information and may obtain this documentation through direct deposit letters or voided checks.
This EFT form is directly associated with the Tile Replacement project at Clay County Jail, a construction bid opportunity requiring qualified contractors to remove existing tile and install new detention-grade, slip-resistant tile in designated dorm bathrooms and showers at the facility located in Green Cove Springs, Florida. Successful bidders will be required to complete this EFT authorization form to enable electronic payment processing through Clay County's payment systems. The form must be completed and submitted as part of the contractor's documentation requirements prior to contract award and commencement of payment processing.
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Other files
| File | Type | Posted |
|---|---|---|
| Tile_Replacement_-_Clay_County_Jail.pdf | ||
| Tile_Replacement_-_Clay_County_Jail.pdf | ||
| Performance_&_Paymt_Bond.doc | DOC document | |
| Performance_&_Paymt_Bond.doc | DOC document | |
| Certificate_of_partial_payment.pdf | ||
| Certificate_of_final_payment.pdf | ||
| Certificate_of_final_payment.pdf | ||
| Chapter_8_Section_I.pdf | ||
| Warranty_Letter_.pdf | ||
| Owner_Direct_Purchase_Program.pdf | ||
| Certificate_of_partial_payment.pdf | ||
| Chapter_8_Section_I.pdf | ||
| Owner_Direct_Purchase_Program.pdf | ||
| Warranty_Letter_.pdf | ||
| EFT_FORM.pdf |
Show all 15
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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 .