Skip A Pay

Skip A Payment Request

Complete the form to submit your skip a pay request.

Member Information

Name *

Member/Account Number(s) *

Phone Number *

E-Mail Address *

SSN *

Loan Numbers to Skip (L1, L2, Etc.) *

Terms of Agreement

1. I wish to skip one month’s payment* on the loan listed in the Member and Account information section above.
2. I understand that I must pay a processing fee of $30.00 for each loan whose payment I wish to skip. This fee will neither reduce nor increase the principal balance of my loan.
3. I understand that interest will continue to accrue at the rate disclosed in my original loan agreement.
4. I understand that I may make additional payments at any time but that such payments will not alter my next payment due date.
5. I understand that if my payments are payroll deducted or withdrawn via ACH from another financial institution and unless I sign additional authorizations, my payment amount will continue to be deducted or withdrawn and that funds will be placed in my share savings during the period of the skipped payment.
6. I understand that by skipping a payment, benefits from credit insurance products or GAP policies may be diminished or abolished.
7. I understand that the terms and conditions of my original loan agreement will remain in force and that skipping a payment will cause additional finance charges to accrue as well as extend the term of my loan.
8. I authorize Combined Employees Credit Union to revise my next payment date based on the definition of one month’s payment* below.

One Month's Payments is defined as follows:

For weekly paid loans, four weekly payments.
For bi-weekly paid loans, two bi-weekly payments.
For semi-monthly paid loans, two semi-monthly payments.
For monthly paid loans, one monthly payment.

Authorization: *

By signing below, I agree to the Processing Fee Option marked and to the Terms of Agreement above.

Processing Fee Option

Checkbox Label

Please deduct the amount due from my savings ($30 per loan)

Checkbox Label

Please deduct the amount due from my checking ($30 per loan)

Checkbox Label

Please Originate an ACH from my other financial institution using the information provided below.

ACH Origination

Web Authorization (ACH Debit) — One Time Payment

Please process the $30 per loan request from my other financial institution on the next available business day..

Name of Financial Institution

Routing Number

Account Number

Name On Account

Account Type

Checking Account

Savings Account

Authorization

By checking the box below and clicking Submit, I authorize Combined Employees Credit Union to initiate a one time ACH/electronic debit from my bank account in the amount of $30 per request on or after today's date, from the account I provide (routing & account number; checking or savings). I agree that ACH transactions I authorize comply with all applicable U.S. law and Nacha Operating Rules.

Error Correction

If a debit is made in error, I authorize Combined Employees Credit Union to initiate an ACH credit to my account to correct the erroneous debit.

Copy of Authorization

Combined Employees Credit Union will provide me an electronic or paper copy of this authorization for my records and will retain it as required.

Identity Authentication & Account Validation (WEB entries)

I understand that, because this authorization is given online, Combined Employees Credit Union may use commercially reasonable methods to authenticate my identity and validate my account before initiating the debit (e.g., secure login, micro deposit verification, or third party account validation).

Consumer Rights (E-SIGN)

By proceeding electronically, I consent to use electronic records for this authorization. I acknowledge I can withdraw consent and request paper copies at no charge by contacting Combined Employees Credit Union at 478-929-5700 or creditunion@combinedecu.com; and that I have the hardware/software needed to access and retain this record (e.g., a device with a web browser and PDF reader).

Authorization:

I agree and authorize the one-time $30 (per request) ACH debit as described above.

Thank you — your information has been received.