BMO Authorization Form

The BMO Authorization Form is a document that allows for automatic monthly withdrawals from a bank account to cover premiums, including overdue premiums, for designated policy numbers with BMO Life Assurance Company. By filling out this form, individuals authorize BMO Life Assurance Company to debit their account to ensure timely premium payments, and they agree to the terms set forth within the document. Interested parties are encouraged to fill out the authorization form by clicking the button below to ensure continuous coverage without interruption.

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BMO Authorization Form PDF Details

The BMO Authorization Form, also known as the BMO PAD form, allows BMO Life Assurance Company policyholders to authorize pre-authorized debit payments directly from their bank account. This removes the need to remember monthly premium due dates and ensures continuous insurance coverage without lapses.

What the Form Covers

The form collects your banking information, policy number(s), and payment authorization details. All withdrawals processed through this form are classified as Pre-Authorized Debits (PADs) and treated as personal transactions under Canadian Payments Association rules. BMO Life Assurance Company, headquartered at 60 Yonge Street in Toronto, processes these debits on a monthly schedule.

Your Rights as a Payor

When you sign this form, you agree to regular debits from your account. However, you keep important protections. You can waive or request advance notification before each debit. You can dispute any debit that does not match the terms of your agreement by contacting your bank within 90 days. Most importantly, you can revoke the authorization entirely by giving BMO 30 days of written notice.

Related Forms

If you need other BMO banking documents, FormsPal offers several related forms. The BMO Direct Deposit Form sets up incoming deposits to your account. The BMO Deposit Form handles standard deposit transactions. For non-BMO pre-authorized payments, see the Pre-Authorized Debit Form or the ACH Authorization Form for U.S.-based transactions.

Question	Answer
Form Name	BMO Authorization Form
Form Length	1 pages
Fillable?	Yes
Fillable fields	12
Avg. time to fill out	2 min 39 sec
Other names	bmo pre authorized payment form, bmo pre authorized debit, bank of montreal pre authorized debit form, bmo pad form online

How to Edit BMO Authorization Form Online for Free

Filling out the BMO Authorization Form takes just a few minutes when you use the online editor at FormsPal. Follow the steps below to complete your form quickly and accurately.

Step 1: Open the Form

Click the "Fill Out" button above to load the BMO Authorization Form in the online editor. The form opens with all 12 fillable fields ready for your input. No software download is required.

Step 2: Enter Your Personal Information

Start by filling in your full name, mailing address, and phone number at the top of the form. Double-check that your name matches the one on your BMO bank account exactly, as any mismatch may delay processing.

Step 3: Add Your Banking Details

Enter your bank transit number, institution number, and account number in the designated fields. You can find these numbers on a void cheque or in your BMO online banking portal under account details. Make sure you use the account from which you want premiums withdrawn.

Step 4: Specify Your Policy Numbers

List the insurance policy number(s) that should be covered by the automatic debit. If you hold multiple policies with BMO Life Assurance Company, you can include all of them on a single authorization form.

Step 5: Review and Sign

Review all entered information for accuracy. Sign and date the form at the bottom. By signing, you authorize BMO Life Assurance Company to process monthly Pre-Authorized Debits from your account for the listed policies. Print or download the completed form and submit it to BMO according to their filing instructions.

BMO Authorization Form