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Automatic Bank Draft Authorization
Please mail or fax this form and a voided check back to us at:
Blue Cross Bluesier of Tennessee
Attn: BlueAdvantage Operations
1 Cameron Hill Circle, Suite 0005
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How to fill out automatic bank draft and
How to fill out automatic bank draft and
01
Contact your bank or financial institution to set up automatic bank draft.
02
Provide your account information, such as account number and routing number.
03
Specify the amount you want to be drafted from your account and the frequency of the drafts.
04
Sign any required authorization forms or agreements to authorize the automatic bank draft.
Who needs automatic bank draft and?
01
Automatic bank draft is typically used by individuals who want to ensure timely payments for bills or loans.
02
It can also be beneficial for businesses that want to automate regular payments to vendors or suppliers.
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What is automatic bank draft?
An automatic bank draft is a financial arrangement that allows a company or organization to withdraw funds directly from a customer's bank account on a predetermined schedule, typically for recurring payments such as bills, subscriptions, or loans.
Who is required to file automatic bank draft?
Individuals or businesses that have recurring obligations such as utility bills, loan payments, or membership fees may opt to set up automatic bank drafts. It is generally voluntary but is a common practice for those who prefer automated payments.
How to fill out automatic bank draft?
To fill out an automatic bank draft, you need to provide a completed authorization form that includes your bank account details (account number and routing number), the amount to be withdrawn, the frequency of the draft, and your signature to authorize the transaction.
What is the purpose of automatic bank draft?
The purpose of an automatic bank draft is to simplify the payment process by automating recurring payments, ensuring timely payments to avoid late fees, and minimizing the risk of missed payments due to forgetfulness.
What information must be reported on automatic bank draft?
Information required on an automatic bank draft may include the payer's name, bank account number, routing number, the amount to be drafted, payment schedule, and authorization signature.
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