Follow the steps to complete the form online:

1. Press the ‘Get Form’ button to access the form and open it in the editing interface.
2. Begin by entering your company name and Penn Vet account number in the designated fields.
3. Specify the date on which you are filling out the form, ensuring it is accurate.
4. Print your name and title in the respective fields, followed by your signature to authorize the request.
5. Provide your financial institution's name, routing number, and account number. Ensure all numbers are correct to avoid any processing issues.
6. Select whether your account is a checking or savings account by marking the appropriate box.
7. Enter your email address and fax number, along with your full address, including street, city, state, and zip code.
8. Attach a voided check with the form to validate your account details.
9. If applicable, fill out the section for automatic payment with a credit card, including the type of card (Visa or MasterCard), account number, expiration date, and billing address.
10. Ensure you sign and confirm the authorization for credit card use, providing the names and signatures of any alternate cardholders if necessary.
11. After completing all sections of the form, save your changes, and choose to download, print, or share the completed document as needed.

Complete your documents online efficiently and with confidence.