Instructions
Authorize or update your direct deposit information.
- Complete form
Complete the form in its entirety. - Include a voided check
Please make sure to include a voided check with the form. Please do not send a deposit slip as they usually list a different routing number than on your account. - Attach a deposit slip
Please make sure you include a savings deposit slip or other document listing both the account number and routing number from your bank. - Sign the form
Complete the signature section with account holder and policy owner printed name, signature and date. - Submit form
Return the completed forms with any required documentation via postal mail, overnight mail or fax to our service center.
Postal mail
F&G Service Center
P.O. Box 81497
Lincoln, NE 68501-1497
Overnight mail
F&G Service Center
777 Research Drive
Lincoln, NE 68521
Fax
800.281.5777
Allow 3 business days for faxed documents to enter our processing system. - Allow 30 days to process
Please allow 30 days for us to set up the direct withdrawal. You will most likely need to remit one more premium document via your old method or bank account.
Authorization for Direct Deposit [ADMIN 5560]
Download ADMIN556022-0084