EFT_FORM.pdf

PDF 418 KB Posted

Attached to
Storm Damage Berm Repairs at Clay County Outdoor Adventure Park
Solicitation number
25/26-066
Issued by
Clay County, Harold CDP, 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 and contractors conducting business with Clay County. The form enables Clay County's Comptroller's office and the vendor's designated financial institution to process electronic credits and, if necessary, debit entries for error corrections. The authorization remains valid until the vendor provides 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 applies to all vendors and contractors working with Clay County, including those bidding on projects such as the Storm Damage Berm Repairs at Clay County Outdoor Adventure Park, which involves erosion damage remediation at five berm locations.

Completion of the EFT Authorization Form is mandatory for vendors seeking payment from Clay County. Vendors must ensure all banking information is accurate and current, with instructions to contact their financial institution for direct deposit or EFT documentation if needed. Vendors are required to notify the Comptroller Department immediately if their bank account is closed or changed to prevent payment processing delays or complications. The form requires an authorized signature and date of execution. This standardized form streamlines payment processing for all County contracts and ensures efficient fund disbursement through electronic methods rather than traditional check payments.

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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 .