Get Direction To Pay Form

Filling out the Direction To Pay Form is an essential step for users seeking to facilitate direct payments under their Single Buyer Insurance Policy. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully fill out the Direction To Pay Form.

1. Press the ‘Get Form’ button to access the form and open it in your browser.
2. Complete the Insurance Reference Number field with your specific policy number issued to you.
3. In the 'Insured' field, enter your full name or the name of the entity that holds the insurance policy.
4. Fill in the beneficiary's name in the 'Name of beneficiary' section to indicate who will receive the payments.
5. Provide the complete address of the beneficiary, including street, city, province, country, and postal code.
6. In the 'Contact Name' section, include the name of a representative for the beneficiary who can be contacted.
7. Enter the telephone number for the beneficiary's contact person, ensuring it’s accurate for communication purposes.
8. Fill in the email address of the beneficiary's contact person for digital communication.
9. If applicable, complete the fax number field for the beneficiary's contact, ensuring all communication methods are available.
10. Confirm that any sums payable under the policy are adequately addressed, and if applicable, specify any recoveries due to losses.
11. Sign the form to authorize the Direction to Pay, including your printed name underneath the signature for clarity.
12. Enter the date you are completing the form in the designated 'Date' field, using the format dd/mm/yyyy.
13. Review all filled sections for accuracy and completeness before proceeding to save changes.
14. Once you have finished filling out the form, you can save changes, download a copy for your records, print it, or share it as needed.

Complete your Direction To Pay Form online today to ensure timely processing.