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PREMIUM PAYMENT METHOD FORM AND PAYMENT AUTHORIZATION Part I By Check (Crossed Check Payable to : The Pacific Life Assurance Co. Ltd.) Credit Card (Please Complete Part I)Check No. : () Autopay (Please

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What is premium payment method form?

Premium payment method form is a document used to specify how premium payments will be made for insurance coverage.

Who is required to file premium payment method form?

Policyholders or individuals responsible for making premium payments are required to file the form.

How to fill out premium payment method form?

The form typically requires the policyholder to provide personal information, specify payment method (such as electronic transfer or check), and authorize payment.

What is the purpose of premium payment method form?

The purpose of the form is to ensure that premium payments are made in a timely manner and to specify the preferred method of payment.

What information must be reported on premium payment method form?

The form may require personal information, payment preferences, and authorization for automatic payments.

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