Forms and Disclosures
Forms and Disclosures
Frequently used forms and disclosures available online in a downloadable .pdf format.
Forms
- Master Account Signature Card Form*
- 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*
- Opt-In Debit* Additional information regarding our Overdraft Privilege program.
- Opt-Out Check*
- Arbitration Opt Out*
Applications
Disclosures
Frequently used documents are now available online in a downloadable .pdf format.
- Account Agreement and Truth-In-Savings Disclosure* (Effective 5/01/19. Addendum added and effective 07/01/20)
- 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)
- Electronic Services Disclosure and Agreement* (Effective 12/01/18. Addendum added & effective 11/01/19)
- Visa Benefits – Visa Credit Cards* (Effective 04/01/11)
- VISA Gold, Platinum and Classic Credit Card Disclosure and Agreement* (Effective 05/31/15)
- Visa Share Secured VISA Disclosure* (Effective 05/31/15)
- Stop Payment Disclosure* (Effective 03/02/18)
- eStatements Disclosure*
- 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 Debit* Additional information regarding our Overdraft Privilege program.
- Opt-Out Check*
- Check 21*
- Your Insured Funds*
- Member Conduct Policy*
- Patriot Act*
- Privacy Policy* (Effective 8/2018)
- Text and Voice Alert Disclaimer* (Effective 03/20/18)
Other
- 2020 Annual Calendar*
- 2021 Annual LA Financial Calendar*
- 2021 Annual Havasu Community Credit Union Calendar*
- 2019 Annual Report*
- Touch Teller Guide*
- 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*
Fees
- Schedule of Fees and Charges* (Effective 12/01/18)