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VOLUNTARY AUTHORIZATION TO PARTICIPATE IN
NATIONWIDE AUTOMATIC PAYMENT PLAN
I/We authorize Nationwide Loans LLC (Nationwide) to debit the amount of my/our installment payments on
my/our loan from
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How to fill out voluntary authorization to participate
How to fill out voluntary authorization to participate
01
Obtain a copy of the voluntary authorization to participate form from the relevant authority or organization.
02
Read and understand the instructions provided with the form.
03
Start by filling out the personal information section, which typically includes fields for your full name, address, contact details, and date of birth.
04
If applicable, provide any additional information requested, such as your occupation or education.
05
Review the consent statement carefully and ensure you agree to the terms and conditions mentioned.
06
Sign and date the form at the designated space.
07
If required, have the form witnessed or notarized by an authorized individual.
08
Make a copy of the completed form for your records before submitting it.
09
Submit the filled-out voluntary authorization to participate form to the appropriate authority or organization as instructed.
10
Follow up with the authority or organization to confirm receipt of your form and to inquire about any further steps or requirements.
Who needs voluntary authorization to participate?
01
Individuals who wish to participate in a voluntary activity, research study, clinical trial, or any other program that requires consent may need to fill out a voluntary authorization to participate.
02
Organizations, institutions, or authorities organizing such activities typically require participants to provide their consent through this form in order to ensure transparency, understanding, and legal compliance.
03
The specific requirements for who needs to fill out a voluntary authorization to participate may vary depending on the nature of the program, the age of the participant (if applicable), and any relevant laws or regulations.
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