Change of Name Form

Account Details

First Name *

Last Name *

Account Number (s): *

Enter Email *

*Help us stay in touch with you even when you travel or relocate. We also offer free online banking and free bill payer to make managing your money easy and convenient no matter where you go!

New Name

In accordance with the USA Patriot Act, all names will again be subject to CIP requirements. CCFCU values your privacy and will never sell your information to third parties.

To change your name, please provide one of the following documents:

Photo ID, valid and in your new legal name (Driver’s License, State ID, Military ID, or Passport)
Copy of the government-issued document evidencing your legal name change (Marriage Certificate or Divorce Decree)

Upload Image

Click or drag & drop image here to upload

Please check any accounts or services that you currently have:

Visa Debit Card

IRA Account

Loan Account

Comment Section

I complete this change form as an account owner and/or transactor. I understand that I will be contacted for verification before any changes within 2 business days. I acknowledge that the information provided is correct and that I am authorized as an owner and/ or transactor and made this request.

Member Initials *

Enter Date *

For Office Use Only:

Call Back/Verified

Online System Changed/Statement Code Updated

VDC/ATM/VCC Changed

IRA Changed

Non-Member/Joint-Owner(s) Updated

Verified/Completed by Employee Initials

Date Completed:

2nd Employee Initials (If Required)

Thank You