Get Formulario De Transferencia Bancaria

The Formulario De Transferencia Bancaria is essential for users who wish to authorize direct deposits for medical reimbursements. This guide will walk you through the online process of completing the form accurately to ensure a seamless transaction.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in an online editor.
2. Begin by entering your full name in the 'Nombre del miembro' field. This should reflect your legal name as registered with IMG.
3. In the 'NSPID o Número de identificación IMG' section, input your Member ID. This can be found on your IMG-issued identification card.
4. Fill in the 'Nombre del titular de la cuenta' section with the name exactly as it appears on your bank account.
5. Next, provide your bank account number in the 'Número de cuenta bancaria' field. Ensure this number is accurate to avoid any issues with deposits.
6. Enter the name of your bank in the 'Nombre del banco' section.
7. Provide your bank's routing number in the 'Número de ruta bancaria' field. This number is crucial for direct deposits.
8. Include your bank’s contact number in the 'Número de teléfono del banco' section for any necessary verification.
9. Fill in your bank's address in the ‘Dirección del banco’ section for proper identification.
10. Review the authorization statement carefully to ensure you understand your consent for IMG to electronically credit your account for eligible medical expenses. This authorization remains valid until you revoke it in writing.
11. Provide your signature in the 'Firma del miembro' section to confirm your authorization.
12. Finally, enter the current date in the 'Fecha' field.
13. After completing all sections, save your changes, and determine whether to download, print, or share the form as needed.

Complete your Formulario De Transferencia Bancaria online today to ensure timely processing of your medical reimbursements.