Forms
The Information You Want . . . When You Want It!
Click on any of the forms below to "Print Your Own."
Not sure which form is right for you? Give us a call at (502) 629-3716.
Join Now! 
Application for Membership Form
This is our Application For Membership Form. To join the Credit Union just print this form, follow the simple instructions and get it to us. There is no fee to join the Credit Union, but you may want to include an initial deposit or fill out an Automatic Deposit Form. |
|
|
Joint Share Account Agreement
If you are you wish to make your account joint with another person, please complete this form and mail or bring it to the Credit Union office. |
Thank you for joining!
Automatic Deposit Form 
One of the great benefits of Credit Union Membership is Automatic Deposit. Any regular recurring check can be automatically deposited to your Share or Share Draft (Checking) Account, including Payroll, Social Security, Pension, etc.
Use this form to start or maintain your Automatic Deposit. Easy 1-2-3 directions are included on the form or call us at (502) 629-3716 for more information.
Application for Share Draft (Checking) Account 
Use this form to open a Share Draft (Checking) Account with your Credit Union. You may also want to pick out Checks and get your automatic Automatic Deposit started.
Friends & Family 
Refer a New Member and get a chance to win $100!
If you work in a hospital or healthcare organization, your co-workers are eligible to join. Members of your immediate family are also eligible to join.
Refer a New Member to our Credit Union and you get entered in a quarterly drawing for $100.00. To be entered in the drawing print THIS FORM. Fill it out and ask the person you refer to attach it to their Membership Application form. Drawings will be held the end of each quarter. You do not need to be present to win. Members of the Board of Directors and members of the Credit Union Staff (and their families) are not eligible to enter.
Membership Forms are available by clicking HERE.
AnyTime Access Form 
Use this form to request access to your account information through $tatline Audio Response or Virtual Branch, internet home banking. Access is free and is available 24/7.
|
|
|
Electronic Funds Transfer Agreement
If you are applying for an ATM Card or a VISA Debit Card, please print this disclosure to go along with your Anytime Access Request Form. |
LOAN FORMS 
Loan Application Forms and Instructions
• Installment Loans
• Auto Loans (includes trucks/RVs/motorcycles, etc.)
• VISA Credit Cards
Use this form to apply for any type of loan or credit card account with the exception of loans secured by real estate. If you are applying for a loan secured by real estate, please call us at 502-629-3716 and a mortgage loan application form can be mailed or faxed to you. |
|
|
VISA Credit Card Agreement
9.9% Annual Percentage Rate ALL THE TIME!
If you're applying for a VISA Credit Card you will also want to CLICK HERE for a copy of our VISA Credit Card Agreement.
|
Lost/Stolen Card Report - PIN Request Form (combination form)
FIRST, if your ATM, Debit or Credit Card has been lost or stolen,
CALL IMMEDIATELY TO REPORT IT:
To report a lost or stolen Credit Union Visa Credit card, call 1-800-991-4964.
To report a lost or stolen Credit Union ATM or Debit card, call 1-800-472-3272.
AFTER you have called, please follow up by completing this form and forwarding it to the Credit Union as soon as possible.
Use this combination form to report a Lost or Stolen ATM Card, Debit Card or VISA Credit Card. You may also use this form to request a replacement card and/or to request re-issue of your PIN (personal identification number).
For any other forms you may need, please call us at 502-629-3716 or e-mail us at ItsEasy@LMedFCU.org and we can mail or fax the forms you need.
|
