Henderson Hall, 29 Carpenter Road, Arlington, VA 22212
(800) 628-6011 (703) 945-1440 Fax (703) 945-1446
Web Site: www.navymutual.org
'QUICK PAY' AUTHORIZATION
CHANGE OF FINANCIAL INSTITUTION
Use this form to change your current financial institution
'Pre-Authorized Check / Electronic Funds Transfer' Authorization
If you have already authorized Navy Mutual to automatically deduct any of your premiums and/or loan
repayments from your financial institution and have recently changed to another, please use this form to
change your existing authorization. This will enable us to continue to serve you better and make your busy
life a little easier, allowing us to quickly, conveniently and efficiently process your premium payment.
As you know, Navy Mutual offers you the ability to pay the premium and loan payments on your
policy(ies) directly from your bank account on a monthly or quarterly basis through the ‘Quick Pay’ plan.
The ‘Quick Pay’ plan allows you the ease and security of electronic bill paying, and it's free!!
If you only desire to add or change any ‘Quick Pay’ policy numbers or amounts with the same bank,
credit union, etc., please use the standard ‘Quick Pay’ form.
Please complete page 2 of this ‘Quick Pay’ change application and return it as soon as possible to save
you time, money and worry. For further information or if you would like to discuss this option in more
detail, please contact us at 1 (800) 628-6011 or via E-mail at firstname.lastname@example.org .
Giving You The Ability To Continue To Make Payments That:
Time. You'll never have to write a check or mail an envelope.
Money. You won't have to pay for postage or envelopes.
Worry. Payments will be made on time, without a lapse in payments.
Enrolling Is As Easy As 1 – 2 – 3 !
Provide the necessary financial information on both your OLD and NEW financial institutions and
complete and sign the Agreement For Direct Payments and Deposits. Return the completed