EFT_FORM.pdf

This is an Electronic Funds Transfer (EFT) Authorization Form issued by the Clay County Clerk of Court and Comptroller in Florida. The form authorizes Clay County's Comptroller and the vendor's designated financial institution to initiate electronic credits and, if necessary, debit entries and adjustments for any erroneous credit entries. The authorization remains in effect until the vendor submits written cancellation 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 from the individual or business representative. Vendors are instructed to notify the Comptroller Department immediately if they close or change their bank account, and individuals are advised to contact their financial institution if uncertain about their EFT information, with most institutions able to provide direct deposit/EFT letters or voided checks for verification purposes.

This form is a required submission document for the CDBG-funded housing foundation rehabilitation project at 2651 Sapp Lane in Middleburg, Florida. Qualified contractors must submit the completed EFT Authorization Form along with Form W-9 and a Contractor Warranty Letter prior to contract award. The project involves foundation and substructure rehabilitation services with a mandatory pre-bid meeting scheduled for March 19, 2026, at the project site, final inquiry deadline of March 25, 2026, and bid submission deadline of April 6, 2026, through the County's e-Procurement Portal. The form serves as documentation that the selected contractor has provided valid banking information for the County to process payments via electronic transfer for this federally funded project exceeding $200,000 in value.