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Power of Attorney Cover Sheet
Please complete the following form and return it with the Power of Attorney (POA). A copy of a government- or state-issued ID is
required for any Attorney-in-Fact that is not a Navy Federal member. If additional information is needed, an NFCU representative will
contact the Principal or Attorney-in-Fact within two (2) business days of document receipt.
Mail: Navy Federal Credit Union, Attn: RS Power Of Attorney
P.O. Box 36460, Pensacola, FL 32526-6460
Note: This Cover Sheet is not a legal Power of Attorney. To avoid a delay in processing, please attach all applicable documents.
Depending on where the Power of Attorney was executed (signed and notarized), additional documentation may also be
required; please check your state’s requirements. Examples of such documents are the Principal’s Acknowledgment and the
Please provide one or all of the following:
If non-member, please also provide the following information:
ID Type: Please include a copy of your non-expired government- or state-issued ID selected below and ensure the image is clear and legible.
Driver’s License No.
State-Issued ID No.
Other (Please provide details.)
You must select “Yes” or “No” for each question below:
Has anyone been court-appointed as Guardian or Conservator for the Principal? Yes No
Has anything happened to void the Power of Attorney (e.g., Power of Attorney revoked, Principal deceased)? Yes No
Note: Appointment of a Guardian/Conservator invalidates a Power of Attorney.
If you have any questions, please contact us anytime toll-free at 1-888-842-6328.
© 2020 Navy Federal NFCU 93A (8-20)
Name: First MI Last Sufx
Access Number Account Number Social Security Number
Access No. Name: First MI Last Sufx
Mailing Address: Street City State Zip Code
Contact No. Alt. Contact No. Email Address
Date of Birth Social Security Number
☐ ____________________________________________________________ ☐ _________________________________________________________
☐ ____________________________________________________________ ☐ __________________________________________
Please describe your intentions for use of the Power of Attorney document.