Sentences with phrase «payment authorization form»

To setup recurring payments from your credit or debit card, please complete the Premium Payment Authorization form and mail it to Vantis Life Insurance Company, 200 Day Hill Rd, Windsor, CT 06095.

Alternatively, you may download the Automatic Payment Authorization form, complete the required information and return it to us via mail or fax:

Payments to the Credit Union are governed by the terms of the automatic payment authorization form.

If you wish to continue this service, please complete a Automatic Payment Authorization form and send via:

Complete and mail or fax an Auto - Debit Payment Authorization Form (PDF) to Aspire Servicing Center.

Not exact matches

Parent Involvement in the School Program 2112.00 Parent Involvement Plan 2112.00 R1 Part - Time Classified Employees 6335.00 Part - Time Employees 6325.12 Payroll Deductions - Tax Sheltered Annuities 3921.00 Payroll Deductions - Tax Sheltered Annuities 3921.00 R1 Payroll Deductions - Tax Sheltered Annuities Approved Companies 3921.00 R3 Payroll Deductions - Tax Sheltered Annuity Deduction Agreement 3921.00 R1E1 Payroll Deductions - Tax Sheltered Annuity Requirements for all Vendors 3921.00 R2 Payroll Deductions - Tax Sheltered Life Insurance 3922.00 Performance Contract (Memorandum) 7116.30 E4 Performance Contract (Memorandum) 6222.10 E4 Performance Contract - $ 1,000 or less 7116.30 E2 Performance Contract - $ 1,000 or less 6222.10 E2 Performance Contract - over $ 1,000 not more than $ 5,000 6222.10 E3 Performance Contract - over $ 1,000, not more than $ 5,000 7116.30 E3 Performance Contract - Procedures 7116.30 R1 Performance Contract - Procedures 6222.10 R1 Performance Contract - Wage / Payment & Vendor / Contractor Determination 7116.30 E5 Performance Contract - Wage / Payment & Vendor / Contractor Determination 6222.10 E5 Performance Contracts 6222.10 Performance Contracts 7116.30 Personal Leave - All Employees 6225.00 R3 Personal Property Authorization 3934.00 E1 Personal Purchases by Employees 3872.00 Personnel Files 6410.00 Personnel Files 6410.00 R1 Petty Cash Purchase 3820.00 Physical Assaults and Threats 5610.00 Physical Examinations 6430.00 Physical Examinations 6430.00 R1 Positive Behavior Supports 8400.00 R1 Positive Behavior Supports and Interventions 8400.00 Post-Issuance Compliance for Tax Exempt and Tax Advantaged Obligations 3510.00 Post-Issuance Compliance for Tax Exempt and Tax Advantaged Obligations 3510.00 R1 Probationary Classified Employees 6343.00 Procedure for Workers» Compensation Insurance 6223.60 R1 Professional Staff Evaluation 6192.00 Program Evaluation 0540.00 R1 Program Evaluation 0540.00 Prohibition of Referral or Assistance Property Claim Form 3934.00 E2 Property Inventory 3220.00 Property Inventory 3220.00 R1 Proposed Guidelines for the Provision of Sex Education 7122.40 Public Complaints or Concerns 9600.00 Public Complaints or Concerns 9600.00 R1 Public Complaints or Concerns - Guidelines 9600.00 E1 Public Information Program 9120.00 Public Information Program 9120.00 R1 Public Records 8310.00 R1 Public Records 9110.00 Public Records 9110.00 R1 Public School Academies (Charter Schools) 2020.00 Public School Academies - Review and Approval of Application 2020.00 R1 Purchasing 3810.00 R1 Purchasing 3810.00 Purchasing - Department Responsibilities 3810.00 E1 Purchasing Cards 3810.00 R14

In this Agreement, the words «you» and «your» mean those who submit a Bill Payment Service authorization form and any authorized users.

If you have a loan with First IB and would like to have your payments automatically debited from a checking or savings account with another financial institution, you must complete the Authorization To Make Automatic Loan Payments form and return it using the instructions on tpayments automatically debited from a checking or savings account with another financial institution, you must complete the Authorization To Make Automatic Loan Payments form and return it using the instructions on tPayments form and return it using the instructions on the form.

Complete the Authorization form to enroll your company and start receiving your payments faster.

You will need to complete a new Authorization for Automatic Payments form or contact us.

After a phone call to their (Spanish - speaking) reservation department (+ 51 — 84 — 581414) we were emailed a credit card authorization form and the payment was eventually processed, and the tickets issued.

If you have not previously elected to receive dividend payments by Direct Deposit but would like to do so, please complete the Direct Deposit Authorization Form (available here) or contact Broadridge toll free by dialing 866-804-4314.

Or better yet, set up recurring Sales Receipts to automatically process the payment from the client's bank or credit card (with their permission and signed authorization form).

Some commenters recommended that we eliminate the requirement for covered entities to state on the authorization form that the authorization is not a condition of treatment or payment.

For example, an authorization under this rule may not be combined with a consent for use or disclosure of protected health information under § 164.506, with the notice of privacy practices under § 164.520, with any other form of written legal permission for the use or disclosure of protected health information, with an informed consent to participate in research, or with any other form of consent or authorization for treatment or payment.

Electronic Funds Transfer (EFT) Authorization Form Complete, sign and mail / fax this form to MetLife to authorize electronic funds transfers of your disability insurance payments directly to your bForm Complete, sign and mail / fax this form to MetLife to authorize electronic funds transfers of your disability insurance payments directly to your bform to MetLife to authorize electronic funds transfers of your disability insurance payments directly to your bank.

Tracking and analyzing the compliance of service authorization and payment forms for over 50 national branches.

The payment may be made by cheque or credit card using the credit card authorization form.

The other new form, Automatic Clearing House (ACH) Recurring Payment Authorization, enables tenants to pay their rent through an automated clearing house (ACH), so they needn't bother writing a paper check every time their rent is due.