Get (eft) Sign-up Form

Filling out the Electronic Funds Transfer (EFT) sign-up form online allows you to automate your payments to Merchants Insurance Group directly from your bank account. This guide provides clear steps and information to help facilitate the process smoothly.

Follow the steps to successfully complete the EFT Sign-up Form.

1. Click ‘Get Form’ button to obtain the EFT Sign-up Form and open it in your preferred online editor.
2. Begin by entering your personal information in the 'Name of Depositor' section, providing your first and last name.
3. Fill in your 'Street Address,' 'City,' and 'State' to ensure accurate identification.
4. In the 'Financial Institution' section, clearly indicate the name of the bank or credit union where your account is held.
5. Locate your 'ABA or Routing Number' and enter it accurately. This number is typically found on your checks or bank statements.
6. Input your 'Financial Institution Account Number,' which identifies your specific account within the bank.
7. Select your account type by checking either 'Checking Account' or 'Savings Account.'
8. Indicate whether your account is a 'Personal Account' or 'Business Account' by checking the appropriate box.
9. Provide your 'Merchants’ Account #' which can be found on the top right side of your insurance bill.
10. Enter your 'Insured Name' as it appears on your policy documents.
11. Include your phone number for any necessary communication regarding your EFT setup.
12. Review all entered information to ensure accuracy before final submission. You can either fax it to 716-849-3377 or mail it to Merchants Insurance Group, P.O. Box 4031, Buffalo, NY 14240-4031.
13. Finally, save your changes, download, print, or share the completed form as needed for your records.

Complete your EFT sign-up form online today for a seamless payment experience.