Get Authorization Agreement For Automatic Withdrawal ...

Filling out the authorization agreement for automatic withdrawal is a straightforward process that allows you to set up your monthly insurance payments electronically. This guide provides clear and detailed instructions to help you complete the form online with confidence.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to access the authorization agreement for automatic withdrawal and open it in the editing interface.
2. In the section marked 'CUSTOMER INFORMATION', enter your insured name and policy number in the designated fields to identify your account.
3. Proceed to 'CUSTOMER BANK INFORMATION'. Here, you must be the primary account holder. Fill in the names on the account and the name of your financial institution.
4. Provide the branch address of your financial institution to ensure correct processing of your withdrawals.
5. Select your account type (checking or savings) and input your account number and routing/transit/ABA number accurately.
6. Review the authorization terms, noting that you can terminate this agreement by notifying Infinity and your financial institution in a timely manner.
7. Sign and date the form where indicated. If there is an additional account holder, they should also sign and date the form.
8. To ensure accuracy, attach a sample check marked 'VOID' that corresponds with the bank account you provided.
9. Review the completed form for any errors or omissions before submission. Once satisfied, save your changes and download, print, or share the form as needed.

Complete your authorization agreement for automatic withdrawal online today!