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STATE OF LOUISIANA OFFICE OF GROUP BENEFITS AUTOMATIC BILL PAYMENT AUTHORIZATION FORENAME (AS SHOWN ON YOUR BILL)MEMBER ID NUMBER OR LAST 4 DIGITS OF ADDRESS (AS SHOWN ON YOUR BILL)NICKNAME OF FINANCIAL

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How to fill out automatic bill payment authorization

01

Contact your bank or financial institution to inquire about setting up automatic bill payment authorization.

02

Provide your personal information, such as your name, address, and account details.

03

Specify the bill payment details, including the payees, payment amounts, and due dates.

04

Review and sign the automatic bill payment authorization form.

05

Submit the completed form to your bank or financial institution.

06

Keep track of your automatic bill payments to ensure they are processed correctly and to avoid any potential issues.

Who needs automatic bill payment authorization?

01

Anyone who wants to automate their bill payments can benefit from automatic bill payment authorization.

02

It is particularly useful for individuals who have regular monthly bills, such as utility bills, mortgage or rent payments, insurance premiums, and subscription fees.

03

Automatic bill payment authorization eliminates the need to manually pay each bill every month, saving time and reducing the chances of missing a payment.

04

It provides convenience and peace of mind, as the payments are processed automatically according to the specified instructions.

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What is automatic bill payment authorization?

Automatic bill payment authorization is a process where a consumer gives permission to a company to withdraw funds from their bank account to pay recurring bills.

Who is required to file automatic bill payment authorization?

Any individual or organization that wants to set up automatic bill payments for their recurring expenses is required to file automatic bill payment authorization.

How to fill out automatic bill payment authorization?

To fill out automatic bill payment authorization, one must provide their bank account information, the name of the company they are authorizing to withdraw funds, the amount to be withdrawn, and the frequency of the payments.

What is the purpose of automatic bill payment authorization?

The purpose of automatic bill payment authorization is to simplify the bill payment process for consumers, ensuring that their bills are paid on time without the need for manual intervention each month.

What information must be reported on automatic bill payment authorization?

The information that must be reported on automatic bill payment authorization includes the consumer's bank account details, the name of the company authorized to withdraw funds, the amount due each billing cycle, and the frequency of the payments.

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