LMI EFT Enrollment Auth Form 2026

1. Click ‘Get Form’ to open the LMI EFT Enrollment Auth Form in our editor.
2. Begin by entering the Agency Name and Named Insured in the designated fields at the top of the form.
3. Fill in your Account Number, Address, City, State, Zip, and Business Phone Number accurately to ensure proper processing.
4. Authorize Liberty Mutual Insurance™ by checking the box and providing your Bank Name, Routing Number (9-digit ABA number), and Checking Account Number.
5. Attach a voided check as required for processing. This is crucial for verifying your banking details.
6. Indicate whether this transaction involves international ACH transactions by selecting 'Yes' or 'No'.
7. Review the conditions regarding authorization termination and select if you wish to receive written notifications of withdrawals.
8. Choose your payment plan by circling either Annual or Monthly before signing and dating the form.
9. Finally, mail the completed form to the appropriate address provided at the bottom of the document.

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