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VOLUNTARY AUTHORIZATION TO PARTICIPATE IN NATIONWIDES AUTOMATIC PAYMENT PLAN I/We authorize Nationwide CAC LLC (Nationwide) to debit the amount of my/our installment payments on my/our retail installment
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How to fill out voluntary authorization to

01
Obtain the voluntary authorization form from the organization or institution requesting it.
02
Fill out your personal information accurately, including your name, contact information, and any relevant identification numbers.
03
Include the reason why you are granting voluntary authorization and specify the scope of the authorization, such as what information or actions it covers.
04
Sign and date the form to indicate your consent and understanding of the authorization.

Who needs voluntary authorization to?

01
Anyone who wishes to authorize someone else to act on their behalf or access their personal information may need to fill out voluntary authorization.
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Voluntary authorization refers to the process by which individuals or organizations grant permission for specific actions or disclosures, typically relating to legal or regulatory compliance.
Individuals or entities that wish to legally allow another party to perform an action on their behalf or to disclose personal information are generally required to file a voluntary authorization.
To fill out voluntary authorization, complete the required form by providing details such as the names of the parties involved, the specific authorization being granted, and any relevant dates or conditions.
The purpose of voluntary authorization is to ensure that individuals or entities have given clear and informed consent for specific actions, protecting both parties under legal and regulatory frameworks.
Information typically required on voluntary authorization includes the names of the parties, the nature of the authorization, any specific limitations, and the duration of the consent.
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