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Premium Payment Authorization and EFT Agreement This agreement is between P a y G o F i n an n c e, L C, an n d / o r i ts AF f i l i a t e s and the Party listed as Client (CLIENT), for the purpose
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How to fill out premium payment authorization and

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How to fill out premium payment authorization and

01
Obtain the premium payment authorization form from the insurance company.
02
Fill out the policyholder information section, including name, address, and policy number.
03
Provide the payment details, such as the amount to be paid, preferred payment method, and payment frequency.
04
Sign and date the authorization form.
05
Submit the completed form to the insurance company via mail, email, or online portal.
06
Keep a copy of the filled-out form for your records.

Who needs premium payment authorization and?

01
Anyone who has an insurance policy and wants to make premium payments can use the premium payment authorization.
02
It is particularly useful for policyholders who prefer automated or recurring payments, as it allows them to authorize the insurance company to deduct the premiums directly from their bank accounts or credit cards.
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Premium payment authorization is a process where a party authorizes the payment of a premium for a specific service or product.
The party who is responsible for making the premium payment is required to file the authorization.
To fill out premium payment authorization, you need to provide all the necessary information related to the payment and the service or product.
The purpose of premium payment authorization is to ensure that the payment is made in a timely manner and that there is proper authorization for the transaction.
The information that must be reported on premium payment authorization includes the amount of the premium, the service or product being paid for, and any relevant authorization details.
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