Get Nationwide Vlo-0369-k 2008-2026

Filling out the Nationwide VLO-0369-K form is an essential step for users who wish to authorize electronic fund transfers for their life insurance premiums. This guide will provide clear and supportive instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the Nationwide VLO-0369-K form online.

1. Click the ‘Get Form’ button to obtain the Nationwide VLO-0369-K form and open it in the online editor.
2. In the 'Policy/Plan Number' field, enter your specific policy or plan number as provided by Nationwide.
3. Complete the 'Insured’s Name' and 'Policy Owner’s Name' fields with the full names of the individuals as they appear on your policy.
4. Fill in the 'Financial Institution Name' and 'Financial Institution Address' sections, ensuring to include the street address, city, state, and zip code.
5. In the 'Bank Account Holder’s Name(s)' section, list the names of all individuals who are recognized as account holders at the financial institution.
6. Enter the 'Transit/ABA Routing Number' provided by your bank, which is essential for the electronic transfer process.
7. Specify the purpose for this authorization by checking the appropriate box, such as 'New Preauthorized Payment Plan' or 'Change in Bank/Checking Account.'
8. If applicable, provide the 'Monthly Amount' you wish to draft and indicate how the total premium payment is to be divided among policy payments.
9. In the 'Monthly Draft Day' section, choose a day between 1 and 28 for the draft to occur, keeping in mind any special instructions for your policy.
10. Select 'Checking' or 'Savings' and provide necessary documentation such as a pre-printed voided check or a verification letter from your bank.
11. Indicate when you wish to start the drafts and ensure your signature is provided in the designated area, along with the date.
12. Lastly, provide your daytime phone number or email address for any follow-up inquiries regarding your submissions. Review all entries for accuracy.

Complete and submit your Nationwide VLO-0369-K form online to manage your life insurance premium payments conveniently.