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Your Direct Debit Request Service Agreement
1. Latrobe Health Services (Latrobe) will debit only the BSB/Account
nominated in this direct debit request.2. Latrobe will give a minimum 14 days written
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How to fill out your direct debit request
How to fill out your direct debit request
01
To fill out your direct debit request, follow these steps:
02
Obtain a direct debit request form from your bank or financial institution.
03
Fill in your personal information, including your full name, address, and contact details.
04
Provide your bank account details, including the account number and the bank's name and address.
05
Indicate the amount and the frequency of the direct debit, such as weekly, monthly, or annually.
06
Specify the start date of the direct debit.
07
Read and understand the terms and conditions of the direct debit agreement.
08
Sign and date the direct debit request form.
09
Submit the completed form to your bank or financial institution.
Who needs your direct debit request?
01
Anyone who wishes to authorize their bank or financial institution to make regular payments from their bank account needs to submit a direct debit request. This can include individuals, businesses, or organizations who have recurring bills, memberships, subscriptions, or loan repayments.
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What is your direct debit request?
Your direct debit request is a form authorizing a company to withdraw funds from your bank account to pay for goods or services.
Who is required to file your direct debit request?
You, as the account holder, are required to file your direct debit request.
How to fill out your direct debit request?
You can fill out your direct debit request by providing your bank account information, authorization to withdraw funds, and any necessary payment details.
What is the purpose of your direct debit request?
The purpose of your direct debit request is to automate the payment process for recurring expenses.
What information must be reported on your direct debit request?
Your direct debit request must include your bank account number, routing number, amount to be withdrawn, and authorization signature.
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