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For Office Use Premium Attached? ? No ? Yes Check # Eff. Date AUTOMATIC BANK DRAFT AUTHORIZATION I hereby authorize Paramount to DEBIT my (our) account with the financial institution named below to
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Begin by gathering all the necessary information and documents needed to fill out the premium attached form. This may include personal details such as your name, address, and contact information, as well as any relevant policy or insurance information.
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Carefully read through the instructions provided on the premium attached form. Make sure you understand the purpose of the form and the specific information required.
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Fill in your personal details accurately and legibly. Double-check that all the information you provide is up to date and correct.
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If the form requires you to provide policy or insurance information, make sure to enter the relevant details accurately. This may include policy numbers, coverage dates, and any other relevant information specific to your insurance or premium.
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Prioritize the sections of the form that require immediate attention or have specific deadlines. Fill these out first to ensure you meet all necessary requirements and deadlines.
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If required, attach any supporting documents or additional information that may be requested. Make sure these documents are organized and attached securely to the form.

Who needs premium attached:

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Individuals who have an insurance policy or coverage that requires premium payments may need to attach a premium with their form.
02
Policyholders who are applying for new coverage or making changes to their current policy may also be required to submit a premium attached form.
03
Insurance agents or brokers who handle policy administration and premium collections may also need to complete and attach a premium form.
Note: The specific requirements for who needs premium attached may vary depending on the type of insurance or policy and the regulations of the insurance provider or governing body. It is always best to consult with the relevant insurance company or professional for accurate and up-to-date information.
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