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 the Tile Replacement project at the Clay County Jail. The form authorizes Clay County's Comptroller Department and the vendor's designated financial institution to initiate electronic credit entries and, if necessary, debit entries and adjustments for erroneous credits. Vendors must complete this form prior to payment processing and provide their financial institution details, including the institution name, account type (checking, savings, or other), transit/ABA/routing number, and account number. The authorization remains in effect until the vendor submits written cancellation to the Comptroller Department, and vendors must notify the Comptroller immediately upon closing or changing their bank account.

This form is a mandatory requirement for successful bidders on the Tile Replacement – Clay County Jail project (IFB #25/26-005), with electronic bid submission required by March 26, 2026, at 4:00 p.m. through the County's e-Procurement Portal. The form applies to all winning contractors regardless of business structure (individuals, businesses, or vendors) and must be submitted along with warranty documentation before payment can be processed. No specific payment schedule or advance funding is identified in the procurement documents; however, the substantial scope of work involving comprehensive tile replacement across multiple facility areas suggests significant payment obligations will be processed through EFT upon completion of work phases and Board approval.

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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 .