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Financial agreements as calculated by Manulife. When not to use this form: For any benefits with an Administrative Services Only (ASO) billed in arrears financial agreement. 1 Plan sponsor information Plan sponsor (the Payor ) Plan sponsor/Payor's address (number, street, suite) City or town Name of person to be contacted Email address of person to be contacted Group contract number Province Postal code All billing divisions List specific billing division(s).

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How to fill out the Grpcfs Form online

Filling out the Grpcfs Form online is a straightforward process that allows users to authorize pre-authorized debit payments for their group insurance premiums. This guide will help you navigate each section of the form step by step, ensuring that you provide the necessary information accurately.

Follow the steps to complete the Grpcfs Form accurately.

  1. Click the ‘Get Form’ button to access the Grpcfs Form and open it in the editor.
  2. Begin with the plan sponsor information. Enter the name of the plan sponsor, their address, city or town, the name of a contact person, their email address, group contract number, province, and postal code. Additionally, specify any billing divisions your organization may have.
  3. Proceed to the payor's banking information section. Choose whether you are setting up a new pre-authorized debit (PAD), changing an existing PAD, or terminating an existing PAD. Select the appropriate option and provide the required banking details, including the PAD pull date and the name and address of your financial institution.
  4. Review the acknowledgment section. Ensure you understand and confirm the statements regarding your authorization, accuracy of the provided information, and the terms of the PAD.
  5. Sign and date the form. Ensure that the signature provided is from an authorized individual representing the payor, and include their title and date of signing.
  6. Choose your submission method. You can either email the completed and scanned form to GRP.CFS.PAD@manulife.com or mail it to the provided address for Premium Administration at Manulife Financial.

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