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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.
To enroll in PayIT, please print our AnyTime Access Request Form, check the PayIT box at the top and fill in the information and your signature below. Fax or mail the form back to the Credit Union. (Fax: 502-629-3715)
When we receive the form, we will set up your access and send you an e-mail to let you know you can start using bill pay.
Membership Forms
Customer IdentificationWhen you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license and other identifying documents.
If the address on your ID does not match the address on your application, we will ask you why they do not match and we will need additional verification of your current address.
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.
Use Second Chance Checking addendum form if you are opening a Second Chance Checking Account. Attach it to the Application for Share Draft Account form.
Second Chance Checking Conversion to Regular Checking AccountUse this form when you are eligible to convert your Second Chance Checking Account to a Regular Checking Account. Reutrn the completed form to the Credit Union office.
Wire Out Transfer FormUse this form to initiate a transfer of funds from your Credit Union account to an account with another financial institution.
New Member Referral Form You Could Win $100As a current member, you are already aware of the quality services offered through Louisville Medical Federal Credit Union -- why not share us with your co-workers, friends and family? For every referral you make, your name is entered in a quarterly drawing for $100. If a new member opens an account they are eligible for rewards up to $50 (restrictions apply.)
Use this form to request access to your account information through $tatLINE Audio Response or VirtualBranch, internet home banking. Access is free and is available 24/7. See EFT Agreement at right.
You can also use this form to request and ATM or VISA Debit Card and our NEW On-Line Bill Pay service − PayIT or CUMoney Prepaid VISA Card. See PayIT Agreement, Disclosures, Instructions and FAQ at right.
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.
PayIT Bill Pay Agreement & DisclosuresIf you are applying for PayIT internet bill pay, please print the disclosure to go along with your Anytime Access Request Form.
PayIT Bill Pay Instructions and FAQView or print the document to help you navagate our bill pay service.
Loan Forms
If you're applying for a VISA Credit Card you will also want to click here for a copy of our VISA Application and Solicitation Disclosure.
VISA Application Form Fillable
You may request a copy of your VISA Credit Card Agreement or the Opening Account Disclosure anytime during business hours by calling us at 502-629-3716.
Skip-A-Payment Request
Use our request form to skip a loan payment when the time is right for you - once every 12 months. Use the cash you save to shop for the holidays, pay taxes, save up for a large purchase, or just plain catch up.
Please read all the Conditions on the form. Skip-A-Payment Request Forms must be submitted at least two (2) weeks before the due date of the skipped payment.
Mortgage Loan Application
In addition to a completed Mortgage Loan Application, we will need the following information to process your loan request:
1. Copy of your Deed showing the Deed Book and Page where it is recorded.2. Statement of your current Mortgage Balance.3. Proof of Homeowners Insurance (If your current mortgage is with our Credit Union, we probably already have the first three items in your file.)4. To verify your employment and income, we need a copy of your most recent paycheck stub showing year to date earnings. Copies of last year’s tax return can also be accepted. If you want us to include other income, please provide verification of that income as well.
If you have any questions or need additional information, please call our office at 502-629-3716.
VISA Balance Transfer You can transfer a balance from another high interest rate Credit Card to your low, fixed rate Louisville Medical Center Federal Credit Union VISA Credit Card Account.
Line-of-Credit Advance Request If you already have a pre-approved Line of Credit with us, you can request an advance. Just indicate the amount you want advanced and any changes in employment, income, or debts and payments since your last application.
Christmas Club Forms
Christmas Club Accounts may be opened only from mid October through Christmas Eve each year.
Christmas Club ApplicationYou can open a NEW Christmas Club Account for next year.
Christmas Club Change or StopCHANGE or STOP an existing Christmas Club Account for next year.
Lost/Stolen Form
Lost/Stolen Card Report - PIN Request 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.
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).
Fraud Affidavit Form
You can use this form to document fraud involving your Credit Union account.
You can bring the completed form to the Credit Union office during business hours, fax it to us at 502-629-3715, or mail it to us at LMFCU, 234 East Gray Street, Suite 130, Louisville, KY 40202.
VISA Forms
Balance Transfer Request FormYou can transfer a balance from another high interest rate Credit Card to your low, fixed rate Louisville Medical Center Federal Credit Union VISA Credit Card Account.
VISA Account Opening DisclosureThis addendum is part of your VISA Credit Card Agreement. If you are opening a new VISA Credit Card account with us, please review this form.
Other FormsFor any other forms you may need, please call us at 502-629-3716 or e-mail us at [email protected] and we can mail or fax the forms you need.