Get Eft Authorization Agreement
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How to fill out the EFT Authorization Agreement online
Filling out the EFT Authorization Agreement online is a straightforward process that allows you to authorize electronic fund transfers from your bank account for insurance premium payments. This guide will walk you through each section of the form to ensure you provide accurate and necessary information.
Follow the steps to complete the form successfully.
- Click the ‘Get Form’ button to access the EFT Authorization Agreement and open it for editing.
- Begin by filling out your personal details, including your name, address, city, state, and zip code. Ensure this information is current and accurately reflects your residence.
- Indicate your enrollment status by selecting one of the options: new, change, or delete. This establishes the nature of your request.
- Provide the name of your bank in the designated field. Follow this by entering your bank's transit/routing number, which consists of 9 digits.
- Next, input your bank account number in the corresponding field. Be clear and accurate, as this number is essential for the electronic transfers.
- Select the type of bank account you are using by choosing either 'checking' or 'savings.' This distinguishes the account type for the electronic funds transfer.
- Remember that a voided check or a bank letter (for savings accounts) must accompany this form. Make sure to have these documents prepared.
- Fill in the policy numbers related to your insurance. You can input multiple policy numbers if applicable; ensure all numbers are entered correctly.
- Read the deduction authorization statement carefully. By signing, you authorize Quincy Mutual Fire Insurance Company to make deductions from your bank account and acknowledge the terms given.
- Print your name and sign the form to finalize your authorization. Make sure to include the date of signing as well.
- Finally, submit the completed form by mailing it to Quincy Mutual at the provided address. Ensure you have all necessary documents attached before sending.
Complete your EFT Authorization Agreement online today and simplify your payment process.
To fill out an authorization agreement for automatic deposits, start by obtaining the EFT Authorization Agreement form. Input your personal information, including your bank account and routing numbers, to designate where the deposits should occur. Make sure to sign the agreement to give consent for automatic deposits. Submitting this completed form allows regular funds to be deposited directly into your account.
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