Get New Business Bank Draft Form A911955doc

Filling out the New Business Bank Draft Form A911955doc online is a straightforward process designed to streamline your payment authorization. This guide provides clear and concise instructions to ensure you complete the form accurately and efficiently.

Follow the steps to complete the New Business Bank Draft Form A911955doc online.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. In the Policyholder / Applicant Information section, enter your name, address, city, state, ZIP code, and phone number. Ensure all information is accurate and up to date.
3. Fill in the Policy Numbers and corresponding Premium amounts for each policy you wish to include. Ensure the total premium is calculated correctly.
4. In the Deduction Information section, specify your preferred frequency for premium deductions by selecting from the options: Monthly, Quarterly, Semiannually, or Annually. Add the desired month for the first deduction and a day (1-28) for the initial deduction.
5. Choose your preferred payment method by indicating either electronic draft or credit/debit card. If selecting electronic draft, fill in your Draftee Name, Depository Name/Branch, Transit/ABA Number, and Account Number. If selecting credit/debit card, select the card type and enter the Card Number and Expiration Date.
6. Review the Confirmation statement that authorizes Aflac to initiate debit entries to your indicated account. Ensure you understand the terms regarding the authorization’s effectiveness and termination.
7. Sign the form in the Policyholder’s/Applicant’s Signature section. If required, provide the Agent’s Signature.
8. Lastly, include the Writing Number and Dates in the spaces provided to finalize your document.

Complete your New Business Bank Draft Form A911955doc online today to ensure timely processing of your premium payments.