Get Recurring Electronic Funds Transfer Payment / Authorization Agreement 2020-2026

The recurring electronic funds transfer payment and authorization agreement allows users to set up automatic payments for insurance installments conveniently. This guide provides clear, step-by-step instructions on how to fill out this form online, ensuring a smooth process.

Follow the steps to complete the authorization agreement accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the policy number and the name associated with the policy. This ensures the payments are linked to the correct insurance account.
3. Enter the name on the checking account. This should match the account that will be debited for payments to avoid any issues.
4. Provide a cell phone number for text message confirmations. This step is required to ensure notifications about payment processing are received.
5. Input an email address for payment confirmations. A valid email account is necessary for the auto pay registration.
6. Choose the reason for submitting the form. Indicate whether you wish to set up a new recurring electronic funds transfer account, change your current account, or cancel an existing account.
7. Fill in the routing number and account number of the bank account to be debited. Double-check these numbers for accuracy to avoid transaction failures.
8. Review and acknowledge the authorization statement. Ensure you understand the terms regarding payment refusals and the implications for your policy.
9. Sign and date the agreement at the bottom. This confirms that you authorize Granada Insurance Company to debit your account as outlined.
10. Once all fields are completed and reviewed, save changes, download, print, or share the form as necessary before submitting it.

Complete your recurring electronic funds transfer agreement online today for hassle-free payments.