Electronic Documentation Form - Liberty Mutual 2025

1. Click ‘Get Form’ to open the Electronic Documentation Form in the editor.
2. Begin by filling out the top section with the Payee Name, including first and last name, telephone number, and email address of the person who will access the site. Ensure all information is printed clearly.
3. In the Authorization Agreement section, authorize Liberty Mutual to initiate electronic documentation by printing your name, title, and signing in the designated areas. Include the date of signing.
4. Select your type of setup request: either 'New user setup', 'User replaces a current user', or 'Additional NEW user'. If replacing a user, provide the name of the old user.
5. If you wish to opt out of paperless policy, sign and date in the Opt Out section. Otherwise, leave it blank.
6. Once completed, remit the form to Liberty Mutual via mail or scan and email it as instructed at the bottom of the form.

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