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Authorization Agreement for Invoice Payments CDI-177

Authorization Agreement for Invoice Payments CDI-177 2025

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The document is an Electronic Funds Transfer (EFT) Authorization Agreement for invoice payments issued by the California Department of Insurance. It outlines the process for companies to authorize EFT payments, including sections for company information, EFT contact person, and ACH debit payment method. The agreement must be completed and submitted to participate in the EFT program, which allows for electronic payments of balances due to the department. Instructions for completing the form and important information regarding payment methods and withdrawal procedures are also provided.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (197 Votes)
2016	4.2 Satisfied (42 Votes)

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