ACH Origination Request
Authorization Agreement for ACH
Submit this form to START a deposit and or withdraw of funds between your IBEW UW FCU account and your account at another Financial Institution ONLY.
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Member Account Type:
Share
Checking
Loan
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Please indicate whether you wish to Deposit to or Withdraw from your IBEW UW FCU Account:
Deposit to my account (debit from other FI)
Withdraw from my account (credit to other FI)
Start ACH Origination
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Share
Checking
Loan
Frequency:
Weekly
Bi-Weekly
Monthly
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I (we) hereby authorize IBWUWFCU (IBEW) to initiate ACH transfer(s) between my (our) account at IBEW and my (our) other financial Institution indicated above. The amount of the transfer and account ownership will be subject to approval by IBEW, & funds are subject to be held by IBEW. Authorization will remain in full force and effect until IBEW has received written notification from me of its change or termination.
I understand that the cancellation notice must be given at least ten (10) business days prior to the scheduled date of the transaction.
I (we) acknowledge that under the rules of National Automated Clearing House Association (NACHA) the origination of ACH transactions to my (our) account must comply with the provisions of US laws. I confirm I am legally authorized to execute transactions on the account designated above.
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Checking this box serves as my authorization to process my ACH Origination Request.
FOR CU USE ONLY
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Thank You