Download the Electronic Funds Transfer Request form and follow the steps to have your premium or loan payment automatically withdrawn from your bank account. Download the form.
Note: When you close the Acrobat Reader, your entries will not be saved. If you print the form and realize you need to add or change something, your entries will still be there as long as you did not close the program.
If you have any questions, please feel free to call us toll free 800.548.2962.
In order to have premium payments withdrawn from your bank account, the policy must be paid current.