EFT_FORM.pdf

PDF 418 KB Posted

Attached to
Firefighter Gear Storage Shed Construction
Solicitation number
25/26-027
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, applicable to the Firefighter Gear Storage Shed Construction project being solicited by the Clay County Board of County Commissioners through Clay County Fire Rescue. The form authorizes Clay County's Comptroller Department and the vendor's designated financial institution to initiate electronic credit deposits and, if necessary, debit entries and adjustments for erroneous credits. The authorization remains in effect until the vendor submits written cancellation to the Comptroller Department. Vendors must provide complete account information including the financial institution name, account type (checking, savings, or other), routing/ABA number, and account number. The form requires an authorized signature and date from the vendor or business representative.

This EFT form is a standard administrative requirement for vendors participating in Clay County contracts and ensures efficient payment processing for contracted services. Vendors are instructed to obtain their complete ACH/EFT information from their financial institution, with individuals potentially obtaining this information through a direct deposit letter or voided check and businesses consulting their financial institution directly. Vendors must notify the Comptroller Department immediately if they close or change their bank account to prevent payment disruptions. This authorization form must be completed and submitted as part of the bid response for the firefighter gear storage shed construction project, which involves furnishing and installing storage sheds with electrical service, insulation, and air conditioning at multiple Clay County Fire Rescue stations.

View the file

Other files

Show all 19

On GovTribe

Work with this file

  • 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 .