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.

Enter the Account Number found on the bottom of your checks.

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Enter the Routing Number found on the bottom of your checks.

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*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:
*E-mail Address:
*Re-enter E-mail Address:
	*Required Fields

Printable Forms Are Also Available

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

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

Easy Pay Plan (EFT)

Enter the Account Number found on the bottom of your checks.

Enter the Routing Number found on the bottom of your checks.

Printable Forms Are Also Available

Insurance Coverage

Resources

About Mutual of Enumclaw

Questions?