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County of Humboldt.......................
County Administrative Office........
Purchasing & Disposition Team...
825 5th St Rm 112 Eureka CA 95501
Ph: 707-268-2544 Fax: 707-445-7299
(Must Match W9)
(check all that apply)
If Yes, please list all account numbers
Yes is preferred
Submit invoices in accordance to contract submission/contact address on purchase order(s).
Must be in .pdf, .png or .jpeg format.
If ACH, please complete items 1-3 below
Please include a confirmation of account information on bank letterhead or a voided check. Documentation should include the name on the account, electronic routing transit number, account number, and type of account. If submitting bank letterhead, the bank officer's name and signature is required. This information will be used to verify your account number.
Starter checks are not acceptable for Electronic Funds Transfer (EFT) confirmation.
These numbers are on the bottom of your check
By typing my/our full name(s) in the Signature field, I/we hereby authorize the County of Humboldt to initiate entries to my/our checking/savings accounts at the financial institution listed below, and if necessary, initiate adjustments for any transactions credited/debited in error. This authority will remain in effect until County of Humboldt is notified in writing to cancel it, allowing a reasonable period of time for the County of Humboldt and the financial institution listed below to act on it.
If questions, please contact us at (707) 268-2544 or at Purchasing@co.humboldt.ca.us.
Vendors who wish to be notified of County Bids and RFPs must register online at humboldtgov.org/list.aspx.
County purchase order terms and conditions may be reviewed at humboldtgov.org/2163/POTC.
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