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Policy Details
Policy Number**
Claimant**
** If the payment is made by electronic check it cannot exceed
$ 49,000.00
Deductible Amount Payable**
Email address**
To receive notification of payment of deductible
Method of payment**
Credit Card
Electronic Check
Card Details
Credit card number**
Expiration date**
CVC**
Cardholder's name*
Cardholder's last name*
Address**
Postal code**
Telephone*
Email address*
Electronic Check
Add a copy of the check**
The maximum size per file is 5Mb
Bank Name**
Routing Number (ABA)**
Routing number confirmation (ABA)**
Account number**
Account number confirmation**
Holder Name**
Account holder type**
Select an option
Business
Personal
Account type**
Select an option
Checking
Savings
IMPORTANT:
-The fields marked with ** are required
-Los campos marcados con * son recomendados
Payment support
Si necesita soporte para procesar su pago en línea, por favor envíenos un correo electrónico a pagos@vumigroup.com con su requerimiento. Your email will be answered during office hours (Monday – Friday, from 9:00 AM to 5:00 PM EST)
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