Get Policy Or Service Fee Consent Form_aa.pdf - North Carolina ...

Filling out the Policy Or Service Fee Consent Form is an important step for ensuring transparency in your insurance transactions. This guide provides clear guidance on how to complete the form accurately and efficiently online.

Follow the steps to successfully complete your consent form.

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by entering the named insured in the designated field. This information identifies the individual or entity that is covered by the insurance policy.
3. Next, provide the name of the agency that is representing the insured. This could be the insurance agency or broker facilitating the policy.
4. Fill in the name of the insurance company along with the corresponding policy number. This helps to associate the consent form with the appropriate insurance coverage.
5. In the section labeled 'Description of Fee,' detail the types of fees being charged. Be specific about each fee to ensure clarity.
6. List the amount due for each type of fee in the corresponding fields. Be sure to double-check your entries for accuracy.
7. After detailing all fees, review the statement concerning the payment of fees. Ensure that you understand that these fees are in addition to any premiums already filed.
8. The insured must sign the form in the designated area to provide their consent. This signature indicates acceptance of the fees mentioned.
9. The date of signing the form should also be included next to the insured's signature.
10. An agent must also sign and date the form confirming that they have explained the fees to the insured.
11. Once all fields are filled and signatures obtained, you can save changes, download, print, or share the completed form as required.

Complete all necessary documents online today for a smooth and efficient process.