Fillable Application for Membership Primary Applicant (Police Federal Credit Union)

Fill Online, Printable, Fillable, Blank Application for Membership Primary Applicant (Police Federal Credit Union) Form

Use Fill to complete blank online POLICE FEDERAL CREDIT UNION pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Application for Membership Primary Applicant (Police Federal Credit Union)

On average this form takes 32 minutes to complete

The Application for Membership Primary Applicant (Police Federal Credit Union) form is 2 pages long and contains:

  • 3 signatures
  • 31 check-boxes
  • 100 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Police Federal Credit Union forms online.

BROWSE POLICE FEDERAL CREDIT UNION FORMS
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Primary Applicant
Name SSN/TIN
________________________________________________________________________________________________________________________________________________
D
ate of Birth Driver’s Lic. # State Exp.
________________________________________________________________________________________________________________________________________________
H
ome Address (no P.O. box)
________________________________________________________________________________________________________________________________________________
C
ity State Zip
________________________________________________________________________________________________________________________________________________
E
-mail (Req. for online banking)
________________________________________________________________________________________________________________________________________________
H
ome Phone Work Phone Cell Phone
________________________________________________________________________________________________________________________________________________
Employer Occupation
________________________________________________________________________________________________________________________________________________
Mother’s Maiden Name
________________________________________________________________________________________________________________________________________________
Mailing Address (If different than above)
________________________________________________________________________________________________________________________________________________
City State Zip
Police Helping Police
The Police Federal Credit Union, headquartered
in the Washington, D.C. area, is a full service, not-
for-profit, financial institution that has been
committed to protecting the financial interests of
members of the law enforcement community and
their families since 1935.
Value
We are a member-owned, not-for-profit
cooperative. Any ‘profits’ that Police Federal
Credit Union makes are returned to members in
the form of lower loan rates, low or no-fee
products and services, and higher savings rates.
We offer accounts and financial services to
meet our member’s needs — whether you need a
mortgage, financing for a vehicle, or money for
other personal needs; investment options, savings
or checking accounts, we can provide for whatever
your financial need is, and typically with lower
loan rates and higher deposit rates than
conventional banks. Police FCU is ready to serve,
and we have you covered.
Police Federal Credit Union is a financial partner
that you can trust.
“Serving YourNeeds. Protecting Your Future.”
-Police FCU
Membership & Eligibility
Police Federal Credit Union membership is a
privilege earned and shared by those who serve
in law enforcement and their immediate families.
Currently, those eligible to join Police FCU include:
• Law enforcement officers and civilian employees
— active duty, recruits in training, retirees, within
the Greater Metropolitan Washington Area law
enforcement agencies and departments
• Immediate family members of Police FCU
members
• Police FCU employees and their immediate family
members
• Spouses of persons who died while within the
field of membership
As departments and agencies may be added
from time to time, please see our website for a
complete list of geographic eligibility. Click the
membership link.
Once A Member, Always A Member—
Keep Your Membership For Life**
Moving, retiring, or just on the go? Take your Police
FCU account with you! We offer convenient
services that allow you to access your accounts and
funds easily, wherever you are. Your funds are
easily accessible through:
• Direct deposit — paychecks, pension checks,
social security checks…
• FREE Online banking, FREE Online bill pay,
FREE banking by phone, FREE check/debit
cards
• Any of the 4,000+ nationwide credit union
shared branches (in all 50 states)
• Any of the 32,000+ SURCHARGE-FREE ATMs
worldwide on credit union ATM network, or
any ATM^.
**Accounts must be in good standing
^ Non-network ATMs may charge a usage fee.
Important Information
Federal law requires all financial
institutions to obtain, verify, and record
information that identifies each person
who opens an account, to help the
government fight the funding of terrorism
and money laundering activities.What this
means for you: When you open an
account at Police Federal Credit Union,
we will ask for your name, address, date
of birth, and other information that will
allow us to identify you.We may also ask
to see your driver’s license or other
identifying documents. By submitting this
application, you authorize Police Federal
Credit Union to obtain information
necessary to verify your identity. This may
include information obtained from
consumer reporting agencies, public
databases, or other sources. If the Credit
Union is unable to verify information you
provide, an account may not be opened.
The Credit Union reserves the right to
close your account if it determines at a
later date that it does not know your true
identity.
When an account is being established for
a minor, the parent/guardian must
provide a birth certificate and a copy of
the social security card for the minor
child. The guardian must also provide all
other required documents mentioned
above on himself/herself.
This information you provide/we collect is
strictly for use of the credit union. Police
Federal Credit Union does not sell, rent,
share or otherwise disclose your personal
information. We will use your e-mail
address to communicate with you about
your accounts and other items of interest
regarding your membership.
Application for Membership
Account Type
❏
Individual
❏
Joint
❏
Minor
Membership Eligibility
Please indicate how you qualify to join Police FCU:
❏ Law Enforcement (active/retired/recruit/civilian employee)
Name of Agency: ______________________________
❏ Immediate Family of a Police FCU Member
❏ Police FCU Employee
If sponsored, please fill in below:
N
ame of and Relationship to sponsor____________________________
Accounts & Account Services—
Please select your preferred accounts & services below:
Accounts
❏ Regular Savings (required)
❏ Free Checking*
❏
I would like to order checks ❏ No checks required
❏ Debit/ATM Card included* (please initial here if you do
not wish to receive a debit/ATM card) _________________
❏ Line Of Credit (separate application required)
❏ Backup Courtesy Pay
Must sign the opt-in form for Backup Courtesy Pay
Overdraft Protection. Activated 30 days after account
opening, see Backup Courtesy Pay form and schedule of
fees for more information.
❏ Direct Deposit (separate form required for payroll)
❏ Police FCU Visa
®
Credit Card**
(separate application required)
Type of credit card desired:
❏ Police FCU Visa Classic
®
❏ Police FCU Visa Gold
®
❏ Police FCU Platinum Rewards Visa
®
❏ Auto Loan/Refinance
*Qualified accounts
**Credit approval required
Services & Conveniences
Convenience:
❏ Free Online Banking with estatements — manage
all of your Police FCU accounts 24/7 online via a
secure, encrypted login.
This service requires your email address for your
estatements.*
Your Email Address: _____________________________
*estatements (automatic with online banking) — Your account statements are
available to you 24/7 through your secure online banking access. Each month
we will send you notification by e-mail when your statement is ready to be
viewed. To view your statement, you must log on to online banking using your
account number and account password. Please initial here if you wish to
receive paper statements by mail instead of estatements. ___________
❏ Free Online Bill Pay
❏ Free Audio Response
— 24/7 banking by phone
How did you hear about Police FCU? ____________
____________________________________________________
____________________________________________________
✔
FOR OFFICE USE ONLY
Account # ________________________________
❏
New Account 
❏
Account Update
Joint Applicant
Name SSN/TIN
________________________________________________________________________________________________________________________________________________
Date of Birth Driver’s Lic. # State Exp.
________________________________________________________________________________________________________________________________________________
Home Address (no P.O. box)
________________________________________________________________________________________________________________________________________________
City State Zip
________________________________________________________________________________________________________________________________________________
E-mail (Req. for online banking)
________________________________________________________________________________________________________________________________________________
Home Phone Work Phone Cell Phone
________________________________________________________________________________________________________________________________________________
Employer Occupation
________________________________________________________________________________________________________________________________________________
Mother’s Maiden Name
________________________________________________________________________________________________________________________________________________
Mailing Address (If different than above)
________________________________________________________________________________________________________________________________________________
City State Zip
2nd Joint Applicant
Name SSN/TIN
________________________________________________________________________________________________________________________________________________
Date of Birth Driver’s Lic. # State Exp.
________________________________________________________________________________________________________________________________________________
Home Address (no P.O. box)
________________________________________________________________________________________________________________________________________________
City State Zip
________________________________________________________________________________________________________________________________________________
E-mail (Req. for online banking)
________________________________________________________________________________________________________________________________________________
Home Phone Work Phone Cell Phone
________________________________________________________________________________________________________________________________________________
Employer Occupation
________________________________________________________________________________________________________________________________________________
Mother’s Maiden Name
________________________________________________________________________________________________________________________________________________
Mailing Address (If different than above)
________________________________________________________________________________________________________________________________________________
City State Zip
Contact Us
301.817.1200 (D.C.Metro Area)
1.877.ARU.PFCU (1.877.278.7328) (Toll-Free)
Fax: 301.817.1230
Email:
Please visit www.policefcu.com and click on
‘Contact Us’ for secure email access
Audio Response-
Telephone Banking:
301.817.1201 (D.C.Metro Area)
1.877.ARU.PFCU (877.278.7328) (Toll-Free)
Branch Locations
Main Office Location
Police Federal Credit Union
9100 Presidential Parkway
Upper Marlboro, MD 20772
DC Branch Location
Police Federal Credit Union
300 Indiana Avenue, NW, #4067
Washington, DC 20001
Payable on Death
If you would like to designate a beneficiary(ies),
please complete the appropriate section(s). Any
listed joint owner(s) will act as the primary
beneficiary(ies).Any payable on death beneficiary(ies)
will be named as a contingent beneficiary(ies). The
account owner(s) reserve the right to change, or revoke,
this designation at any time. In the event of your death,
you, the undersigned,
hereby designate the following
beneficiary(ies).
Certification of Tax Payer Identification
I certify, in accordance with the IRSW-9 instructions provided by the Credit Union and under penalties of perjury, that: 1) the social security number (SSN) or tax identification
number (TIN) shown on this form is my correct identification number,
2) I am NOT subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I
have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding, and 3) I am a U.S. person (including U.S. resident alien).
❏ I am not subject to backup withholding ❏ Exempt ❏ I am not a United States Citizen or resident (complete formW-8 BEN)
The IRS does not require your consent to any provision of this document other than certifications to avoid backup withholding.
Signatures
I/We hereby make application for membership in and agree to the Bylaws of, as amended, Police Federal Credit Union (the “Credit Union”).Under penalties of perjury, I certify
that I am within the field of membership of the Credit Union; the information provided on this application is true and correct; and my signature on this form applies to all my
accounts under my name at this Credit Union and constitutes a request for any identifying number and/or access device issued by the Credit Union in connection with such
account. I authorize the Credit Union to obtain information necessary to verify my identity, including but not limited to obtaining a credit report about me.
Credit Report Authorization: By signing below you authorize the Credit Union to check your employment and credit history and to obtain credit reports in connection with any
request for membership or credit, including any update, increase, renewal, extension, or collection of credit you receive.
For Account and/or Account Services: By signing below I agree to be bound to the terms and conditions of any account that I have with the Credit Union now and in the future
and to any amendments to these documents that the Credit Union may make from time to time. I understand that the Credit Union has published an Electronic Funds Transfer
Agreement and Disclosure, Membership Account Agreement and a Privacy Notice and Disclosure. I acknowledge that the account disclosures and Rate & Fee Schedules for
Share Savings and Share Draft Accounts have been furnished to me by the Credit Union, and its terms are incorporated as part of this agreement. I/We further agree that if
I/We use our Online Banking Service to enroll in Online Bill Pay, I/We are also fully responsible for all payments from the account and fees for this service. This agreement
supersedes any previous account agreements.
______________________________________________________________________ ________________________________________________________________________ ______________________________________________________________________________
Primary Member Signature Date Joint-Applicant Signature Date 2nd Joint-Applicant Signature Date
______________________________________________________________________________________________________________
B
eneficiary 1 Date of Birth Social Security Number
Street Address
City State Zip
B
eneficiary 2 Date of Birth Social Security Number
S
treet Address
City State Zip
FOR OFFICE USE ONLY
Account # ________________________________
Date of Membership ______ /_______ /______
Opened by: ______________________________
Serving Your Needs. Protecting Your Future.
www.policefcu.com
POLICE FEDERAL CREDIT UNION
Welcome to
Police Federal
Credit Union
❏ OFAC ____________________________________
❏ Equifax/Chexsystems:
Primary _________________ Joint ________________
❏ Membership agreement
❏ Schedule of fees
(mailed/handed to member)
❏ Member privilege brochure, if applicable
Reviewed by: ______________________________
Comments: ________________________________
________________________________________________________
Membership Application
1. Complete and sign the application. Be sure
to fill in all the information and please print.
2. To verify your identity and/or eligibility, you
will need to provide 2 forms of ID:
● A valid government issued photo ID,
such as your driver’s license or state
ID card with your current address,
no P.O. Boxes.
● Another legal form of identification or
document (i.e. current work
identification, social security card,
etc…)
3. Please be sure to enclose your initial deposit.
Please note, an initial deposit of $5 is required
to open your new account (this represents your
share in the credit union) and a minimum
balance of $5 must remain in the account at all
times to keep this account active.
If Mailing:
* All copies of official documents and
identification must be notarized
(i.e. driver's license, ID cards, social
security card, birth certificate, etc...)
Send your completed application
and all required notarized document
copies to:
Police Federal Credit Union
9100 Presidential Parkway,
Upper Marlboro, MD 20772
-
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Application for Membership Primary Applicant (Police Federal Credit Union)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 7 June 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document