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 Department and the vendor's designated financial institution to initiate electronic credit entries for payments, as well as debit entries and adjustments for any erroneous credits. The authorization remains in effect until the vendor provides 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, and vendors are instructed to contact their financial institution if they need assistance obtaining their complete EFT information, which may be provided via a direct deposit/EFT letter or voided check.

This EFT authorization form is ancillary to Clay County's Request for Bids for a Public Private Partnership (P3) to design, build, and finance a Public Safety Complex on a 53-acre vacant site. Successful bidders will be required to complete this form as part of the vendor onboarding process to enable the County to remit payments electronically. Vendors must notify the Comptroller Department immediately if they close or change their bank account to ensure uninterrupted payment processing. The form serves as a standard administrative requirement for all vendors conducting business with Clay County.