Easy Pay Plan (EFT)

To have payments deducted directly from your bank account (and to avoid monthly billing fees), please complete and submit this Electronic Funds Transfer (EFT) application.

Submit Online

*Policyholder's Name:

*Phone Number:

*Policy Number(s):

*Name of Bank/Credit Union:

*Account Type:

Checking

Savings

*Payment Type:

One Full Payment

Monthly Payments

*Name(s) on Bank Account:

*Bank Routing Number:

*Bank/Credit Union Account #:

*Desired Deduct Day:

*Policyholder's Email Address:

*Re-enter Policyholder's Email Address:

*Required Fields

Printable Forms

Electronic Funds Transfer (EFT) Application
Electronic Funds Transfer (EFT) Removal Form
Amending Electronic Funds Transfer (EFT) Form

Submit the printed form via one of the following:

Email:
billing@mutualofenumclaw.com
Fax:
(866) 570-3289
Mail:
Mutual of Enumclaw
1460 Wells St.
Enumclaw, WA 98022

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