Fee Reversal Request

Let’s gather the information you will need to request a fee reversal on your account.

Member Name *

Member 📞 Phone Number *

Member Email Address *

Member Account Number *

Don't know your member number? Ask Chatbot Carl: 'What's my member number?'

Now, let's focus on when the fees occurred and the reason(s) you are requesting we review them.

Number of Fee Requested for Reversal *

Date of Fee(s) *

Date of Fee(s)

Reason for Request *

I understand this form is used to submit a request to my Credit Union. Submission of this form does not guarantee approval or completion of the requested change or service.

I understand submission of this request does not guarantee that fees will be reversed. All requests are subject to review and approval.

We are happy to review this fee information on your behalf. A Member Experience Representative will reach out to you shortly.

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