Insurance Company Pre-Payment Deposit Authorization Form

Please review the following instructions to download the forms

To be able to fill in and save a PDF form (Fillable/saveable version), download and then open the form using the free Adobe Reader.

1. Hover over the form name with your mouse
2. Right-click and select “Save link as” to save the form. This will allow you to save the form in a location of your choosing (file folder, etc.). Note: Do not use the browser’s “Open” feature.
3. Once saved, go to the location where you saved the form.
4. Hover over the form name with your mouse
5. Right-click and select “open with…” and in the menu select “Adobe Acrobat Reader”