Understanding this form is essential for policyholders who want to simplify their insurance premium payments. By enabling automatic withdrawals from a checking or savings account, it serves as a convenient tool to ensure that insurance protection remains intact without the hassles of manual payment. The form removes the need for writing checks or buying stamps, providing a seamless experience for customers of Nationwide Mutual/AMCO/Allied Property and Casualty Insurance.
This document activates Flex Chek, an automatic account withdrawal service offered by Nationwide Mutual and its affiliated companies (AMCO and Allied Property and Casualty). Flex Chek deducts insurance premiums directly from your bank account on the agreed payment date each month. The service is transparent: if the deduction amount changes, you are notified well in advance. This policy of advance notification adds a layer of security and trust for policyholders who rely on automatic payments.
This document is required by any Nationwide Mutual/AMCO/Allied Property and Casualty customer who wishes to set up automatic premium payments via the Flex Chek service. It is commonly used by homeowners, auto insurance holders, and commercial property policyholders who want uninterrupted coverage. Completing the form is a one-time process, and once it is active, no further action is needed for recurring payments as long as the bank account information remains the same.
To fill out this form correctly, you need the following information:
Once complete, submit it together with a voided check and your current minimum payment due. Nationwide will then activate automatic withdrawals on the date you selected.
The privacy of your financial information is protected throughout the process. Nationwide Mutual and its affiliates handle all account details in compliance with industry security standards. The consent you provide applies only to insurance premium payments and cannot be used for any other type of withdrawal. You retain the right to cancel or modify this approval at any time by notifying Nationwide in writing before the next scheduled payment date.
If you need to set up automatic payments for other purposes, the following forms may also be useful:
| Question | Answer |
|---|---|
| Form Name | Allied Authorization |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | allied ipa authorization form, allied insurance authorization, from flex chek, allied authorization |
