EFT_FORM.pdf

PDF 418 KB Posted

Attached to
Clay County Sheriff's Office Building 500 Renovation
Solicitation number
25/26-061
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 vendors and contractors conducting business with Clay County. The form authorizes Clay County's Comptroller Department and the vendor's financial institution to initiate electronic fund transfers, including credits and debits for corrections, with the authorization remaining in effect until the vendor provides written cancellation to the Comptroller Department. The form requires vendors to provide their complete banking information, including the financial institution name, account type (checking, savings, or other), routing/ABA number, and account number. The vendor must authorize the arrangement with a signature and date. Clay County emphasizes that vendors must notify the Comptroller Department immediately if they close or change their bank account, and individuals and businesses should contact their financial institutions to obtain complete EFT information, such as direct deposit letters or voided checks, if they are uncertain of their details.

This EFT Authorization Form is a prerequisite administrative document for the Clay County Sheriff's Office Building 500 Renovation project (IFB #25/26-061), a competitive sealed bid solicitation for interior renovation services at 1845 Town Center Boulevard, Fleming Island, Florida. Qualified general contractors must submit the completed EFT form as part of their bid package to ensure that payment can be processed electronically upon contract award. No specific pricing, payment schedule, or funding source is detailed in the authorization form itself; however, contractors awarded the base bid or any alternates will receive payment through the established EFT account. The form serves as a mandatory administrative requirement alongside other bid submission requirements, including bid bonds, insurance certificates, and compliance documentation.

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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 .