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  • Automatic Payroll Deposit Form - Reliance Standard

Get Automatic Payroll Deposit Form - Reliance Standard

2001 Market Street, Suite 1500 Philadelphia, PA 19103 (800) 351-7500 Authorization Agreement for Automatic Deposits of Systematic Withdrawals and Annuity Payments ? NEW ENROLLMENT ? STOP AUTOMATIC.

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How to fill out the Automatic Payroll Deposit Form - Reliance Standard online

Filling out the Automatic Payroll Deposit Form - Reliance Standard ensures that your payments are deposited directly into your chosen bank account. This guide provides clear instructions to help you complete the form online with ease.

Follow the steps to complete the form effectively.

  1. Select the ‘Get Form’ button to access the Automatic Payroll Deposit Form and open it in your editing tool.
  2. Identify the authorization section where you will choose to enroll in automatic deposits, stop automatic deposits, or change your bank account information. Make the appropriate selection by marking the corresponding box.
  3. Fill in your policyowner name, Social Security Number, policy number, and date in the designated fields accurately.
  4. Indicate your preferred account type by checking either 'Checking' or 'Savings'.
  5. Provide your account number, depository name, branch, city, state, and zip code to ensure the information is complete.
  6. Enter the Bank Transit Number/ABA Number, which can typically be found on your checks or obtained from your bank.
  7. If you select a checking account, attach a voided check to the form to allow Reliance Standard to confirm your account and routing numbers.
  8. After completing all fields, review your inputs for accuracy. You can then save changes, download, print, or share the completed form as needed.

Complete your documents online to ensure seamless processing of your payroll deposits.

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Contact support

Toll Free 800.497. 7044 / Fax 402.467. 7336 Web .reliancestandard.com/dental-vision Reliance Standard's payer ID for electronic claims is 36088.

Reliance Standard, a leading group insurance provider, is proud to offer RSL BasicCare, an innovative limited benefit medical program designed with employers' and employees' needs in mind. RSL BasicCare allows companies to make the most of their benefit dollars while still offering competitive employee benefits.

Reliance Standard Life Insurance Company is a leading provider of financial protection, absence management and supplemental health benefits solutions, driven by technology and an integrated customer experience.

Reliance Standard Life Insurance Company (Reliance Standard) is a leading insurance carrier specializing in innovative and flexible employee benefits solutions including disability income and group term life insurance, a suite of voluntary (employee paid) coverage options and fully integrated absence management.

Reliance Standard Life Insurance Company is a member of the Tokio Marine Group. Tokio Marine Holdings, Inc., the ultimate holding company of the Tokio Marine Group, is incorporated in Japan and is listed on the Tokyo Stock Exchange.

Reliance Standard Life Insurance was founded in 1907. It's a member of the Tokio Marine Group, which is incorporated in Japan and is one of the world's largest property and casualty insurance, reinsurance, and life insurance companies.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232