Get Payment Authorization Form H1 - Red River Mutual

Completing the Payment Authorization Form H1 for Red River Mutual online is a straightforward process. This guide provides clear, step-by-step instructions to help you accurately fill out the form and ensure your payment preferences are set correctly.

Follow the steps to fill out the Payment Authorization Form H1 successfully.

1. Click the ‘Get Form’ button to obtain the form and open it in your designated online editor.
2. Indicate whether this is a new request or a change of existing information by checking the appropriate box at the top of the form.
3. Enter your full name and postal address in the designated fields. Make sure to include all necessary details for proper identification.
4. Provide the brokerage or agency information, including the postal code, contact number, broker code, and the contact name of your broker.
5. Fill out the policy premium data section by entering the total estimated policy premium, any applicable provincial sales tax, and the installment fee if desired. Calculate the total estimated cost.
6. Read through the consent and disclosure section carefully. By signing in the designated area, you confirm your understanding of the payment plan terms and authorize the financial institution for payments.
7. Select your preferred method of payment. Indicate if you will make a single payment or choose to set up a payment plan, and specify the plan type if applicable.
8. If using a credit card for payment, fill in the credit card information, including the card number, expiry date, and cardholder's name. Ensure you provide your signature if it is different from the automatic signature.
9. Alternatively, if you will be using a bank account, complete the bank account information section with the financial institution’s name, account holder's name, and the account details. Don't forget to attach a void cheque.
10. Enter the details for payment, including down payment amount, additional charges, installment amount, and the next payment date. Confirm all entered amounts are accurate.
11. Finalize the form by providing the signatures of all authorized individuals. Make sure to date the signatures for compliance.
12. Once completed, save your changes, download, print, or share the form as necessary to submit it to your broker.

Complete the Payment Authorization Form H1 online today to set up your payment preferences effortlessly.