Get Gom Discount

Filling out the Gom Discount form is an important step in managing your insurance premiums effectively. This guide provides clear and concise instructions to assist you in completing the form online, ensuring that you can take advantage of the convenient Guard-O-Matic arrangement for your policy payments.

Follow the steps to successfully complete the Gom Discount form.

1. Press the ‘Get Form’ button to obtain the form and access it in the editor.
2. Indicate the company you are applying to by checking the appropriate box for The Guardian Life Insurance Company of America, The Guardian Insurance & Annuity Company, Inc., or Berkshire Life Insurance Company of America.
3. Select the 'New Application' option if applicable, or specify a 'Bank Change' if you are changing your banking information.
4. Fill in the Agency Code in the designated field.
5. Provide a voided blank check or a photocopy if you are using a checking account, or a deposit slip for savings accounts.
6. Choose the preferred date for deductions: the 1st or the 15th of each month. Note that the 15th will be the default if both options are selected.
7. Complete the section for your financial institution details, including the name, address, and transit/ABA number.
8. Enter your account number and the name of the account holder, along with their address.
9. If applying for Universal or Variable Universal Life insurance, indicate the desired monthly deductions and understand that this amount may need adjustment to keep the policy active.
10. Review your information for accuracy, then proceed to save changes, download, print, or share the completed form as needed.

Complete your documents online today to ensure timely management of your insurance premiums.