Please complete the following to request a Stop Payment on an Electronic Payment:
Reason for Stop (Choose One)
Revoking Authorization of Recurring Electronic Payments
Revoking a One-Time only Electronic Authorization
Please read the following before submitting:
I understand by submitting this electronic Stop Payment form I am agreeing to all the conditions as mentioned below.
I will notify the originating company of this stop payment.
I understand that the amount I list above must be correct for the stop payment to take effect.
I agree to indemnify and hold Forest Area Federal Credit Union harmless from all liability, damage, and expense incurred as a result of refusing payment of said check.
I understand I must notify you in writing, if, and when the stop payment ceases to exist.
I understand that this stop payment order expires six months from the date hereof unless I renew it in writing.
I understand that Forest Area Federal Credit Union will not be liable for paying an item on the day the stop payment is received.
I agree to allow Forest Federal Credit Union to charge my account $20.00 for this stop payment request and acknowledge receipt of a copy of this order if I so request and accept and agree to the terms thereof.