Payment Authorization Form for All Savers Alternate Funding 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section A, 'APPLICANT INFORMATION.' Enter your Employer Name accurately as it will be used for all official communications.
3. In Section B, 'INITIAL METHOD OF PAYMENT,' select either 'Check Enclosed' or 'Electronic Fund Transfer (EFT).' If you choose EFT, ensure to complete the EFT Authorization section below.
4. Proceed to Section C, 'ONGOING METHOD OF PAYMENT.' Choose between 'Electronic Fund Transfer (EFT)' or 'Direct Bill - Monthly.' Note that fees may apply for Direct Billing.
5. Read and acknowledge the terms in Section D, 'STATEMENT OF UNDERSTANDING.' This confirms your understanding of the payment process and responsibilities regarding sufficient funds.
6. Complete Section E, 'ELECTRONIC FUND TRANSFER AUTHORIZATION.' Fill in your account type, account holder’s name, routing number, financial institution, and account number. Ensure accuracy to avoid payment issues.
7. Finally, sign and date the form at the bottom. Provide your email address for any necessary correspondence regarding this authorization.

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