Credit/Debit Card Payment Authorization Agreement
Company Name: Farmers Insurance Exchange and its affiliates (members of the Farmers Insurance Group of Companies®) (hereafter collectively referred to as “Farmers”)
I hereby agree to the terms and conditions of this authorization agreement as follows:
As the Named Insured, I hereby request and authorize Farmers to collect my insurance premiums and other amounts due from me to Farmers by charging my credit/debit card either electronically or by any other method, and I hereby request and authorize my credit/debit card company to pay and charge such amounts to my account.
Farmers website may create a small data file, or “cookie”, on the hard drive of your computer in order to retain specific customer information.
Farmers takes your security seriously and has implemented various measures designed to ensure the confidentiality of customer data, and protect against unauthorized access to or use of such information. Farmers continually reviews and enhances its security systems, and is compliant with the rules and regulations of the Payment Card Industry Data Security Standards ("PCI").
This authorization will remain in effect until Farmers has received written or online notification signifying termination of this agreement.
6301 Owensmouth Avenue
Woodland Hills, CA 91367
ATTENTION: Online Billing Manager