EFT_FORM.pdf

This is an Electronic Funds Transfer (EFT) Authorization Form issued by the Clay County Clerk of Court and Comptroller in Florida for processing vendor payments. The form authorizes Clay County's Comptroller Department and the vendor's designated financial institution to initiate electronic credits and debits for contract payments and adjustments. The authorization remains in effect until the vendor provides written cancellation notice to the Comptroller Department. Vendors must provide complete banking 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, with vendors directed to contact their financial institutions for complete ACH/EFT information if uncertain, obtaining either a direct deposit letter or voided check as documentation. Vendors must immediately notify the Comptroller Department of any bank account closures or changes to maintain uninterrupted payment processing.

This EFT form is a standard administrative requirement for vendors bidding on the Clay County Fairgrounds Hurricane Roof Repairs project (IFB #25/26-055), which is federally funded through FEMA Public Assistance Grant Agreement No. 2024/2025-42. Successful contractors must submit this completed form to facilitate monthly payments for work completed under the Florida Local Government Prompt Payment Act. The form serves as a prerequisite administrative document for contract award and payment processing, ensuring Clay County can efficiently disburse funds to qualified contractors performing the hurricane-related roof repair work at Exhibit Hall 2 and Cattlemen's Arena.