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 is used by individuals, businesses, and vendors to authorize Clay County Comptroller's office and their designated financial institution to initiate electronic credits and, when necessary, debit entries and adjustments for erroneous credit entries. The authorization remains in effect until the vendor submits written cancellation to the Comptroller Department. Vendors must provide complete account 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.

The form serves as a prerequisite document for vendors bidding on the Springhaven Road CIPP project, which involves approximately two hundred feet of cured-in-place pipe lining work in Orange Park, Florida. Vendors interested in submitting quotes for this Clay County Board of County Commissioners project must complete and submit the EFT authorization form to ensure payment can be processed electronically upon contract award. The form emphasizes that vendors must notify the Comptroller Department immediately if they close or change their bank account during the contract period.