Fill out page 2 of this form (Automatic Payment Authorization). 1. If you have a joint account, be sure both account holders sign the authorization.This page includes forms, fees, and instructions for all domestic business entities, foreign and domestic Registered Agents, and Washington Trademarks. You can write a letter, sign it and hand it to a bank professional. They will accept the letter but, may still have you sign their form. Use this form to request to withdraw a portion of the value of a Universal Life policy OR take a loan against the policy. Important information about this form: • Fill out this form to request a partial or full withdrawal from your Washington. State ABLE Savings Plan account. Street Use Division. All forms are available in PDF format unless otherwise noted.