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 enables Clay County Comptroller's office and the vendor's designated financial institution to initiate electronic credit entries and, when necessary, debit entries and adjustments for erroneous credits. The authorization remains effective until the vendor submits written cancellation to the Comptroller Department. The form requires vendors to provide complete banking information, including the financial institution name, account type (checking, savings, or other), transit/ABA/routing number, and account number. Vendors must notify the Comptroller Department immediately upon closing or changing their bank account.

The form is designed for use by individuals, businesses, and vendors conducting business with Clay County. Vendors are instructed to obtain complete EFT information directly from their financial institutions, with individuals able to request direct deposit or EFT letters or provide voided checks as supporting documentation. Businesses and vendors should contact their financial institutions for complete ACH/EFT information prior to submission. The authorized representative must sign and date the form to validate the authorization, establishing the mechanism through which Clay County will process electronic payments to successful bidders and contractors, including those responding to solicitations such as the Mosquito Control Program.