Request For Automatic Withdrawl
Please enter your information here and we will send you the electronic funds transfer (EFT) form electronically. It will come from a website called Docusign.
- The email will be from Insurance Services by Docusign
- Open the email and click the yellow box the says "View Document"
- The webpage will prompt you for your Routing & Account number as well as a signature.
- After entering all the information, click finish and it will send it back to our office and we will take it from there.
Any Questions, call us at 419-663-1220.