| American Income Life

Vendor/Accounts Payable

Vendor Name Please enter a valid Vendor Name.

Country Please enter a valid Country.

Vendor Number or Unknown Please enter a valid Vendor Number.

Tax ID Number Please enter a valid Tax ID Number.

Address Please enter a valid Address.

City Please enter a valid City.

State

Province

Please enter a valid State/Province.

Zip/Postal Code Please enter a valid Zip/Postal code.

Name on Account Please enter a valid Name of Account.

Bank Name Please enter a valid Bank Name.

Account Type Please enter a valid Account Type.

Routing Number Please enter a valid Routing Number.

Bank Transit Number Please enter a valid Bank Transit Number.

Branch Name Please enter a valid Branch Name.

Account Number Please enter a valid Account Number.

Re-Enter Account Number Account Number must match.

Please include one of the following materials to validate account information (Max file size: 2 MB):

A PDF copy of a voided check
PDF copy of a printed account verification screen signed and stamped with the bank stamp.
A PDF bank statement
A PDF copy of screen shot from a Mobile Bank device

Only PDF files are currently supported.