Automated Group Clearing House (ACH) Online Authorization AgreementJuly 27th, 2017
FiledJuly 27th, 2017ACH AUTHORIZATION We hereby authorize Further to charge our bank account through the ACH for: Payment for claim reimbursements (FSA, HRA)Contributions (HSA) FSA Administrative feesEffective date Please allow 10β15 business days from the date your form is received by Further for your request to be processed.