Account Services Forms 
    Membership / Application Forms:

    • Individual Account Application Form: PDF* / Online**
    • Switch Kit: PDF*

    • Business Account Application Form: PDF*

    • VISA® Credit Card Application Form: Online

    Account / Services Forms:

    • Account & Signature Card Change Request Form: PDF*
    • Account Change Address/Phone Form: Online***
    • Account Privacy Choices: Online / PDF*
    • Account Overdraft/Courtesy Pay Protection Opt-In Form: Online

    • ATM - Transaction Dispute Form: PDF*
    • ATM or Debit Card - Notification of Fradulent Transaction Affidavit Form: PDF*

    • VISA® Debit Card - Notification of Transaction Dispute Form: PDF*
    • VISA® Debit Card - Notification of Fraudulent Transaction Form: PDF*
    • VISA® Debit Card - Notification of Merchandise Not as Described or Defective Form: PDF*
    • VISA® Debit Card - Notification of Merchandise or Services Cancelled Form: PDF*

    • Check Re-Order Form: Online
    • Check Stop Payment Form: PDF* / Online***

    • ACH Written Statement of Unauthorized Debit Form: PDF*
    • ACH Stop Payment Form: PDF*
    • ACH Automatic Transfers Service Request Form: PDF*

    • Wire Transfer Request Form - Incoming: PDF*
    • Wire Transfer Request Form - Outgoing: PDF*

    Direct Deposit Forms:

    • Generic Request Form: PDF*

    • Los Angeles County: PDF*
    • LACERA - New: PDF*
    • LACERA - Change: PDF*
    • Social Security / Treasury Department: PDF*

    eServices Forms:

    • eServices Transfer Between Accounts Authorization Form: PDF*

    Loan Forms:

    • HELOC Prime Checklist: PDF*
    • HELOC Prime Loan Application: PDF* Online**
    • Early Federal Disclosure Information: PDF*
    • Fair Lending Notice: PDF*
    • Right to Receive a Copy of Appraisals: PDF*
    • Fire Insurance Notice: PDF*
    • What You Should Know About Home Equity Line of Credit: PDF*
    • Information Disclosure: PDF*
    • Appraisal Notice: PDF*
    • Statement of Information: PDF*

    • Private Education Loan Applicant Self-Certification: Online

*** Service available under eBranch "Account Management".
** Special rates/promotions are not available through online enrollment. Please contact us or visit a Southland branch.
* Adobe® Reader v11 or higher required. Please click the link below to download: