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2327 L Street, Sacramento, CA 958165014 916.440.1985 FAX 916.440.1986 info Capra.org www.capta.org EVERY UNIT, COUNCIL AND DISTRICT PTA MUST COMPLETE AND RETURN THIS FORM EVEN IF NO ONE WAS PAID Workers
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How to fill out attach insurance premium payment:

01
Gather all the necessary information and documents, such as the insurance policy number, the date of payment, and the insured person's details.
02
Ensure that you have the correct form for attaching the insurance premium payment. This can usually be obtained from the insurance company or downloaded from their website.
03
Fill out the form accurately and completely. Provide all the required information, including your personal details, the policy details, and the amount of the premium payment.
04
Double-check all the filled information to ensure its accuracy and correctness. Any mistakes or missing information may delay the processing of your payment.
05
Attach the premium payment to the form. This can be done by writing a check or money order payable to the insurance company for the specified amount. Alternatively, you may be able to make a payment online or over the phone, depending on the options provided by your insurer.
06
If required, include any additional documents or paperwork requested by the insurance company to process the payment. This may include a copy of the premium invoice or a signed authorization form.
07
Finally, review the completed form and attached payment one last time before submitting it. Make sure everything is in order and that you have kept a copy for your records.

Who needs to attach insurance premium payment:

01
Individuals who have insurance policies with a premium payment requirement.
02
Businesses or organizations that have insurance coverage and are responsible for paying the premium amount.
03
Anyone who wants to ensure their insurance coverage remains active and up to date by making timely premium payments.
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Attach insurance premium payment is the payment made to an insurance company to secure coverage for a specific period of time.
Businesses and individuals who have purchased insurance coverage are required to file attach insurance premium payment.
Attach insurance premium payment can be filled out by following the instructions provided by the insurance company or agent.
The purpose of attach insurance premium payment is to ensure that the policyholder has continuous insurance coverage.
Information such as policy number, coverage period, premium amount, and payment method must be reported on attach insurance premium payment.
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