Get Payment Authorization Form - The Commonwell - Thecommonwell

Filling out the Payment Authorization Form for The Commonwell can seem daunting, but this guide will assist you through each step. Follow these clear instructions to ensure your form is completed accurately and efficiently.

Follow the steps to seamlessly complete the Payment Authorization Form.

1. Click ‘Get Form’ button to access the Payment Authorization Form. Once you have clicked the button, it will open the document for you to fill out.
2. In the 'Applicant Information' section, provide your broker details, policy number, and your personal information including name, mailing address, city, postal code, and contact telephone numbers. Ensure all entries are accurate to avoid any processing delays.
3. Select your preferred method of payment by completing either Section 2(A) for credit card information or Section 2(B) for financial institution information. If you choose Section 2(A), input the credit card details, including card number, expiry date, and name as shown on the card. If using Section 2(B), provide your account details, including the account name, financial institution name, and account identification numbers. Attach a void cheque if required.
4. In the 'Consent and Disclosure' section, read through the terms carefully. You will need to authorize each requirement by providing your signature where indicated and dating the signature.
5. Once all sections of the form have been filled out completely, review your entries to ensure accuracy. After verification, you can save your changes, download a copy, or print the form for your records.

Complete your Payment Authorization Form online to ensure a smooth transaction process.