Choose the application method that is most convenient for you. You may request a secure online application link or download and print the forms.
Option 1 · OnlineComplete Your Application Online
Request a secure application link from Paylux. We will follow up with instructions for completing your application and submitting supporting documents through an approved secure process.
What you may be asked to prepare
- Driver’s license or state identification
- For U.S. citizens: U.S. passport or birth certificate, as applicable
- For non-U.S. citizens: Green Card or Employment Authorization Document, as applicable
- Recent pay stubs or other income documentation, if needed
Option 2 · PrintDownload and Complete by Hand
If you have access to a printer, download the forms, complete them, and sign where indicated.
The ACA print copy has the old credit-card and bank-account payment panels removed. Do not write payment-card, CVV, routing, or bank-account details on application paperwork.
Returning completed paperwork
Do not email completed forms or identity documents as ordinary attachments. Contact Paylux to receive instructions for secure document delivery or arrange an office appointment.
Protect your personal information. Do not send Social Security numbers, immigration documents, identity documents, pay stubs, or completed applications through ordinary email or the general website contact form. Only submit these materials through a secure process provided by Paylux.
