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AFLAC Bank Draft Automatic Authorization Form free printable template

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The Company and the financial institution reserve the right to terminate this service at any time. It is the shareholder s responsibility to notify the Company of changes in financial institution information. Changes may be made by providing the Company with a new Bank Draft Automatic Authorization form revising the original instructions. The Shareholder will allow the Company a reasonable amount of time for initiating revising or terminating the...
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How to fill out AFLAC Bank Draft – Automatic Authorization Form

01
Obtain the AFLAC Bank Draft – Automatic Authorization Form from the AFLAC website or your representative.
02
Fill in your personal information, including your name, address, and contact details.
03
Provide your bank account information, including the account number and bank routing number.
04
Indicate the amount you want to be drafted automatically and the frequency of the draft.
05
Sign and date the form to authorize the automatic bank draft.
06
Submit the completed form to AFLAC as instructed, either via mail or electronically.

Who needs AFLAC Bank Draft – Automatic Authorization Form?

01
Individuals who have an AFLAC policy and wish to set up automatic payments.
02
Policyholders looking to ensure timely payment of premiums without manual intervention.
03
Those who prefer the convenience of having premiums deducted directly from their bank account.
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The AFLAC Bank Draft – Automatic Authorization Form is a document that allows Aflac to automatically withdraw premium payments from a policyholder's bank account on a scheduled basis.
Policyholders who wish to enroll in automatic premium payments using bank drafts are required to file the AFLAC Bank Draft – Automatic Authorization Form.
To fill out the AFLAC Bank Draft – Automatic Authorization Form, you need to provide your personal information, bank account details, and signature to authorize Aflac to draft payments from your account.
The purpose of the AFLAC Bank Draft – Automatic Authorization Form is to ensure timely payment of insurance premiums by allowing automatic deductions from the policyholder's bank account.
The information that must be reported includes the policyholder's name, address, bank account number, routing number, and authorization for Aflac to withdraw funds.
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