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Get TRICARE Premium Payment Credit Card & EFT Authotization Form

Auto Payments By signing this form you are authorizing International SOS Assistance, Inc. as applicable, to initiate debit/credit card or EFT charges (and/or corrections to previous debits/charges) from your account with the financial institution identified on this form for payment of TRS/TRR premiums. A fee of $20 may be applied for insufficient EFT funds. Important note for auto monthly payments: Payment of any past due amount is required to set up an automated monthly payment account. If you.

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  1. Open the document in our full-fledged online editing tool by clicking Get form.
  2. Fill out the required boxes which are yellow-colored.
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  7. Hit Done and save your new form.

Our service allows you to take the entire process of submitting legal papers online. Due to this, you save hours (if not days or even weeks) and eliminate unnecessary expenses. From now on, submit TRICARE Premium Payment Credit Card & EFT Authotization Form from the comfort of your home, business office, as well as while on the go.

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