Electronic Payment (EP) Account AgreementElectronic Payment Account Agreement • May 7th, 2010
Contract Type FiledMay 7th, 2010Instructions: Use this form to establish or change an electronic payment account as a payment method for policies and contracts issued by the companies listed below. Once you have established an EP Account, other products can be included with this account so that payments can be withdrawn on the same date from the same bank account. Please complete this form in its entirety to avoid any delays in processing. If you need assistance completing this form, please call your representative, sales office, or the appropriate number listed under How to Submit this Form.