99精品视频

Instructions

Authorize electronic drafts easily with this form.

1. Complete the financial institution section
   Complete this section of the form with the following:
   • Name of institution
   • Type of account
   • Routing number
   • Account number
   • Policy number
2. Sign the signature section
   Complete the signature section with account holder and policy owner printed name, signature and date.
3. Submit form
   Return the completed forms with any required documentation via postal mail, overnight mail or fax to our service center.
   
   Postal mail
   99精品视频 Service Center
   P.O. Box 81497
   Lincoln, NE 68501-1497
   
   Overnight mail
   99精品视频 Service Center
   777 Research Drive
   Lincoln, NE 68521
   
   Fax
   800.281.5777
   Allow 3 business days for faxed documents to enter our processing system.
4. Allow 15 days to process
   99精品视频 will process the request within 15 business days of receipt if in good order.
5. Confirm updates
   We will mail a confirmation letter that the request was processed to the owner's address on record.