如亲临本公司签署,则无需填写本栏。
注:如果理赔申请人是主被保险人,则无需填写附属被保险人信息。
NOTE: If claim is for the Primary Insured, please do not fill out Dependent Information.
请按以下说明将正确信息填写在一式两份的空白《太平洋卡自动转帐付款授权书》上,此张表无需填写。
Please fill in the correct information on the Authorization form according to the following instruction. No need to fill in this form.
应用推荐