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BENEFIT ALLIANCE PAYMENT AGREEMENT AND BANK DRAFT AUTHORIZATION
ApplicantGPLEASE Printed Participants Change to Existing PlanAddress
CityStateZip
Social Security #Home/Cell Telephone #Area Code authorize
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How to fill out bank draft authorization
How to fill out bank draft authorization
01
To fill out a bank draft authorization, follow these steps:
02
Obtain a bank draft authorization form from your bank.
03
Fill in your personal information, including your name, address, and contact details.
04
Provide the details of the recipient or payee, including their name, address, and bank account information.
05
Specify the amount to be deducted from your account for the bank draft.
06
Sign and date the bank draft authorization form.
07
Submit the completed form to your bank for processing.
Who needs bank draft authorization?
01
Bank draft authorization is typically needed by individuals or businesses who wish to make payment to a recipient through a secure and guaranteed method.
02
It is commonly used for making large or international payments, as the bank draft ensures that the funds are available and will be transferred to the recipient's account.
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