Get Allied Eft Enrollment Form - Barr's Insurance

Filling out the Allied EFT Enrollment Form is a straightforward process that allows you to set up automatic withdrawals for your insurance premium payments. This guide will provide you with detailed instructions to ensure your enrollment is completed accurately and efficiently.

Follow the steps to complete your enrollment effortlessly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by completing the 'Authorization for Flex Chek' section. Provide your name and any joint account holder’s name, clearly printed.
3. In the next section, enter the name of your banking institution, followed by the routing number and bank account number. Make sure to specify whether it is a checking or savings account.
4. Sign and date the authorization to confirm your consent for automatic deductions from your account.
5. If you are an existing Allied policyholder, include a check for the current minimum due as shown on your billing statement. New Allied policyholders need to provide a check for one month’s premium.
6. Gather all required documents: your check, the return portion of your billing statement, and the completed Authorization form.
7. Finally, review all entries for accuracy and completeness. Save changes, download, print, or share the form as needed, and follow up by faxing or mailing your documents to the specified address.

Start filling out your documents online today and enjoy the convenience of automatic payment.