EFT_FORM.pdf
PDF 418 KB Posted
- Attached to
- Moccasin Slough Boardwalk
- Solicitation number
- 25/26-043
- 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 vendors, contractors, and other payees doing business with Clay County. 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 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), transit/ABA/routing number, and account number. The form requires an authorized signature and date, with vendors advised to contact their financial institutions for accurate EFT information, such as direct deposit letters or voided checks.
This form is a standard requirement for the Moccasin Slough Boardwalk project, an Invitation for Bid (#25/26-043) issued by the Clay County Board of County Commissioners for construction of a new boardwalk system and public amenities within Moccasin Slough Park. All contractors submitting bids for this project must complete and submit the EFT Authorization Form along with other required documentation including W-9 forms and certificates of payment to facilitate electronic reimbursement upon contract award and project completion. Electronic bids are due February 12, 2026, by 4:00 p.m., with the non-mandatory bid opening scheduled for February 13, 2026, at 9:00 a.m. The project is funded through a Florida Recreation Development Assistance Program (FRDAP) grant totaling $200,000 in state funds with no federal funds or grantee match requirements.
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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 .