Auto Authorization Form – Fill Out and Use This PDF

An auto authorization form lets a loan servicer automatically withdraw payments from your bank account on a set schedule. This Great Lakes Auto Pay Authorization Form enables electronic fund transfers from a checking or savings account to cover current and future student loan payments. Fill out the form, attach a voided check or deposit slip, and mail it to Great Lakes to get started.

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Auto Authorization Form PDF Details

The Great Lakes Auto Pay Authorization Form is a two-page document for student loan borrowers who want to automate monthly payments. Completing this form authorizes Great Lakes to withdraw your loan payment directly from a U.S.-based checking or savings account on each due date.

To complete the auto authorization form, you will need your Great Lakes borrower ID, your bank account routing number, and a voided check or savings account deposit slip. Your bank account must be U.S.-based. The form also lets you choose whether to apply any additional payment amounts to a specific loan or spread them across all open accounts.

After mailing the completed form with your voided check, you remain responsible for making manual loan payments until Great Lakes confirms auto pay enrollment in writing. Once confirmed, withdrawals occur automatically each billing cycle. If the withdrawal amount changes, Great Lakes notifies you before the next payment is taken.

You can cancel auto pay at any time by contacting Great Lakes with enough advance notice to avoid a missed payment. For related payment forms, see the ACH authorization form, the loan payment form, or the electronic funds transfer form.

Question	Answer
Form Name	Auto Authorization Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	auto body authorization form, auto pay authorization form, auto pay authorization, autopay authorization form

How to Edit Auto Authorization Form Online for Free

Completing the auto authorization form takes just a few minutes using FormsPal's online PDF editor. The steps below walk you through each section of the form.

Step 1: Open the Auto Authorization Form

Click the "Get Form" button at the top of this page to launch the PDF editor. The form opens with all fields ready to fill in. You can add text, enter your signature, and make other edits without downloading any software.

Step 2: Complete Section 1 – Borrower Information

Print your name clearly in the borrower name field, then enter your Great Lakes ID and email address. Select the appropriate authorization type for your account.

Auto authorization form Section 1 showing borrower name and Great Lakes ID fields

Step 3: Select Loan Accounts and Bank Details

In Section 2, choose which loan accounts should be covered by auto pay. Fill in these fields:

Loan accounts with active payments due
Any additional payment amount to apply
Loan accounts currently at zero balance
Minimum withdrawal amount (required by Great Lakes)
Days within which to apply disbursement-date payments

Auto authorization form Section 2 showing loan account and payment amount fields

Step 4: Review the Authorization Statement and Sign

Section 3 contains the legal authorization from Great Lakes. Select the applicable payment option, read the statement carefully, and sign your name with the date. Make a copy of the completed form before mailing it.

Auto authorization form Section 3 showing signature and date fields

When all sections are complete, click "Done" to finish. You can then download the auto pay authorization form as a PDF, email it directly, or save it in your FormsPal account. Mail the signed original with a voided check or deposit slip to Great Lakes at the address shown on the form. For related forms, see the automatic bank payment form or the ACH payment enrollment form.