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, businesses, and individuals receiving payments from Clay County. The form authorizes Clay County's Comptroller Department and the vendor's designated financial institution to initiate electronic credits and, if 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 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 of execution and instructs vendors to immediately notify the Comptroller Department of any changes to or closure of the designated bank account.

This form is a standard administrative requirement for the Oakleaf Community Park Drainage Improvements project, a competitive sealed bid solicitation by the Clay County Board of County Commissioners for grading and drainage improvements at a park facility in Orange Park, Florida. Contractors selected for this project must submit the completed EFT form as part of their contract administration obligations to facilitate monthly progress payments processed in accordance with the Florida Local Government Prompt Payment Act. The form ensures efficient payment processing for the winning contractor and any subcontractors or vendors involved in the project delivery.

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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 .