EFT_FORM.pdf
PDF 418 KB Posted
- Attached to
- Oakleaf Community Park - Drainage Improvements
- Solicitation number
- 25/26-074
- Issued by
- Clay County, Orlando City, 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 individuals conducting business with Clay County. The form enables 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 effective until the vendor provides written cancellation to the Comptroller Department. Vendors are required to notify the Comptroller Department immediately upon closing or changing their bank account to maintain current payment information.
The form requires vendors to provide complete banking details including the financial institution name, account type (checking, savings, or other), routing/ABA number, and account number. Individual vendors should contact their financial institution for direct deposit or EFT information, while business vendors should obtain their complete ACH/EFT details from their banking institution. The completed and signed form must be submitted with banking authorization and date to establish electronic payment capabilities for contract awards and vendor payments related to Clay County procurement activities, including the Oakleaf Community Park Drainage Improvements project.
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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 .