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Please print, complete, sign, date and mail all forms to:


Attention: Member Services
P.O. Box 10188
Van Nuys, CA 91410

If you have any questions regarding these forms, please contact us at 877-695-2732.

ACH Origination Agreement
ACH Stop Payment
ACH Written Statement of Unauthorized Debit
Account Change Request for Visa
Account Closing Authorization
Address Information Update
Affidavit of Attorney in Fact
Business Account Agreement
Business Funds Transfer Agreement
Business Internet Gambling Reg GG
Cashier’s Check Stop Payment
CCPA Request to Know, Delete, or Correct Information
Certification of Beneficial Ownership
Debit Card Overdraft Consent Form
Direct Deposit Authorization Card
Direct Deposit Distribution or Pre-Authorized Transfer(s)
Domestic Partnership Affidavit
Incoming Wire Instructions
IRA – Beneficiary Designation
IRA – Traditional IRA Application
IRA – Traditional IRA Contribution and Investment Selection
IRA – Traditional IRA Contribution Eligibility
IRA – Traditional IRA Withdrawal Authorization
IRA – Roth IRA Application
IRA – Roth IRA Contribution and Investment Selection
IRA – Roth IRA Contribution Eligibility
IRA – Roth IRA Withdrawal Authorization
IRA – Required Minimum Distribution Scheduled Payment Election
LACERS (Civilian Direct Deposit)
LASD Payroll Deduction Form
Loan Data Change Request
Member Account Agreement and Disclosure
Member Hardship Form
Membership Application
Mortgage Loan Subordination Request Form
Overdraft Protection Opt-In/Out
Pension Deduction Authorization Form
Stop Payment Request
Switch Kit
Telephone Password
Trust Account Signature Card
Trust and Fiduciary Share Account Signature Card