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Get Payment Authority Form - Hcf - Hcf Com
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How to fill out the Payment Authority Form - HCF - Hcf Com online
The Payment Authority Form allows you to authorize HCF for various payment methods including credit card, direct debit, or payroll deduction. This guide offers step-by-step instructions to help you complete the form online efficiently.
Follow the steps to fill out the Payment Authority Form with ease.
- Click ‘Get Form’ button to download the Payment Authority Form and open it in your preferred editor.
- Begin by filling in your personal details in section 1. Use capital letters and a black pen to ensure clarity. This includes your title, first name, middle initial, surname, sex, and contact information such as your home and mobile phone numbers.
- Provide your postal address if it differs from your home address. Fill in the suburb, state, and postcode as necessary.
- Indicate the date of birth and the date you wish your membership to start. Ensure the dates are in the correct format (DD MM YYYY).
- In section 2, select your payment method by marking 'X' next to one of the options: Ezipay Direct Debit, Credit Card Authority, or Payroll Deduction. Proceed to fill in the required details for the selected payment method.
- If you choose Ezipay Direct Debit, complete the details in section 2a, indicating how often you wish payments to be debited, the financial institution you will use, and the account information.
- If you select Credit Card Authority, provide the cardholder's name, type of card, card number, expiry date, and specify the debit frequency in section 2b.
- For Payroll Deduction, fill in your employer's name and employee ID, then check your deduction preferences in section 2c.
- In the declaration section, read the agreement carefully. Sign and date the form where indicated, ensuring all signatures are complete.
- Once the form is fully completed, review all information for accuracy. You can then save changes, download, print, or share the completed form as needed.
Complete your Payment Authority Form online to streamline your payments with HCF.
HCF hospital and extras insurance covers state provided emergency ambulance services to the nearest hospital able to treat you. On some levels of HCF cover, you may also be able to claim up to $5,000 per person, per year for non-emergency, medically necessary ambulance transport by state providers.
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