Get the free Monthly Bank Draft Authorization - eHealthInsurance
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Once completed, fax both sides of this form to Unifier Attention: Individual Membership FAX (866) 868-8846 Select Billing Type Monthly (By checking account deduction only.) Quarterly Please choose
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What is monthly bank draft authorization?
Monthly bank draft authorization is a written agreement between a bank account holder and a service provider, allowing the service provider to withdraw funds from the bank account on a monthly basis.
Who is required to file monthly bank draft authorization?
Anyone who wishes to make regular payments to a service provider through automatic bank drafts is required to file monthly bank draft authorization.
How to fill out monthly bank draft authorization?
To fill out monthly bank draft authorization, the bank account holder needs to provide their personal information, bank account details, the amount to be withdrawn monthly, and authorize the service provider to make the withdrawals.
What is the purpose of monthly bank draft authorization?
The purpose of monthly bank draft authorization is to simplify the payment process for recurring bills or services by allowing automated withdrawals from a bank account.
What information must be reported on monthly bank draft authorization?
The monthly bank draft authorization form typically requires personal information of the bank account holder, bank account details, the amount to be withdrawn monthly, and authorization for the withdrawals.
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