If you are making a payment for more than one policy, please complete this form and fax to GUA after credit card transaction is completed:

Multiple policy payment form

 

NOTE:  We are still in the testing phase of accepting credit card payments.

We will no longer be accepting payments from checking/savings accounts. 

 

AGENTS:  Please submit the net portion of premium only.

 

REQUIRED: For identification purposes, the following information must be provided:

-“Invoice #” field : enter the policy # or “multiple” if submitting the multiple payment allocation form

-“Description” field : enter the insured last name and address or “faxing multiple payment allocation form”

 

  REMINDER: If you are making a payment for a renewal you must still provide the signed continuation of coverage form. Signed form can be faxed to (770) 717-8620 with a note stating that payment was made via credit card

(include your transaction # on the faxed form)

 

Thank You.