Disclosures and Forms

Frequently used forms and disclosures available online in a downloadable .pdf format.

Disclosures

• • • Account Agreement and Deposit Disclosures Packet* (Effective 11/01/22)
    • Your Insured Funds* 
    • Online Banking, Mobile Banking, & Mobile Deposit Agreement & Disclosure* (Effective 12/01/18. Addendum added & effective 11/01/19)
    • Online Account Application ESIGN Consent Disclosure* (Effective 12/01/18)
    • Online Loan ESIGN Consent Disclosure* (Effective 02/01/19)
    • Stop Payment Disclosure* (Effective 03/02/18)
    • eStatements Disclosure* (Effective 11/06/12)
    • Billing Rights Summary*
    • Error Resolution for Electronic Transfers*
    • Internet Banking Security Notice*
    • Notice of Change in Open-End Loan Payment Due Date (Home Equity Lines of Credit Loans(HELOC) and Fixed Rate Personal Lines of Credit)*
    • Opt-In or Opt-Out for One-time Debit or ATM Transactions* Additional information regarding our Overdraft Privilege program.
    • Opt-Out Check*
    • Check 21*
    • Member Conduct Policy*
    • Patriot Act*
    • Federal Privacy Notice* (Effective 11/2022)
    • Important Privacy Choices for California Members* (Effective 1/2020)
    • California Consumer Privacy Act Notice* (Effective 1/2020; Updated 6/2021)
    • Text and Voice Alert Disclaimer* (Effective 03/20/18)

Fees

• • Schedule of Fees and Charges* (Effective 5/01/21; Updated 7/01/21)

Forms

• Payroll Allocation Form*
• ATM Dispute Form*
• Automatic Transfer Request Form*
• Stop Payment on Member Checks Form*
• Online Banking Stop Payment Disclosure*
• Deposit/Transfer Form*
• Overdraft Authorization Form*
• LA County Employee Direct Deposit Form* 
• LACERA Payroll Deduction Form*
• Social Security Direct Deposit Form*
• Beneficiary Designation Form*
• Switch Kit*
• LA County Payroll Deduction Form*
• Domestic Wire Transfer Form*
• International Wire Transfer Form*
• Member Wire Instructions*
• Arbitration Opt Out*

Other

• 2022 Annual Report*
• 2023 LA Financial Calendar*
• 2023 Havasu Community Credit Union Calendar*
• Fighting Back Against Identity Theft*
• Check Reorder Form*
• File a complaint with the FBI’s IC3* Report if you feel you have been a victim of an Internet crime
• Quicken® Web Connect, Web Connect Express, QuickBooks and Mint Conversion Instructions*
• Internet Banking Security Notice*
• Money Management Tools*