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- Click ‘Get Form’ to open it in the editor.
- Begin by selecting whether you want to 'START', 'CHANGE', or 'STOP' your payment authorization. This is crucial for indicating your intent.
- Fill in the 'INDIVIDUAL/COMPANY INFORMATION' section. Enter your name, street address, city/state, and zip code accurately to ensure proper identification.
- Provide your area code and telephone number for contact purposes. Also, include your agency account identification number and specify the type of payment.
- In the 'FINANCIAL INSTITUTION INFORMATION' section, enter the name and address of your financial institution along with the nine-digit routing transit number and account details.
- Finally, sign and date the form at the bottom to authorize the transactions. Ensure all information is correct before submitting.
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