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Forms

 

You can get our Fax-a-Check and Auto-Pay Authorization forms below. Just click on the link to open. You can either print the form or save it to your computer. You will need to have Adobe Acrobat Reader installed to view. 

Auto_Pay (ACH/EFT) Authorization

 

 

If you do now have Acrobat Reader installed just follow this link to get the free software.

2 Village Dr. STE. 300, Abilene TX 79606
Phone: (325) 695-7028   Fax: (214) 260-1180   Toll-free: (800) 588-9292
Email: info@insurancecreditcorp.com