Skip to content
  • I want FCCU to authorize and pay overdrafts on my everyday ATM and debit card transactions. I realize that if I opt-in, I may revoke this coverage at any time via mail, online or by phone.

    OK I want FCCU to authorize and pay overdrafts on my everyday ATM and debit card transactions. I realize that if I opt-in, I may revoke this coverage at any time via mail, online or by phone. is required

Your Information

  • OK First Name is required
  • OK Last Name is required
  • OK E-mail is required

Please enter the account numbers for which Overdraft Services should apply...

  • OK Account Number is required
  • Optional OK Account Number is required
  • Optional OK Account Number is required
  • Optional OK Account Number is required

Your Signature

    Entering your first and last name along with today's date in the boxes below will serve as your signature for this form.

  • OK First and Last Name is required
  • Today's Date

    OK Today's Date is required
  • To complete a paper version of this form instead click here to obtain the PDF for printing.

    This request can only be accepted from current FCCU members. After completing this form, hit "Submit" to send it to us for processing. All our forms are encrypted using the latest internet security for your privacy. Be sure to contact us with any questions.

    FCCU reserves the right to require repayment immediately or on demand.

  • OK Security Code is required