Applications & Forms

All in One Place

Here are several forms available for your convenience.

Apply for membership, loans, and credit cards online. If you need to print an application, you may do so. For more information, please call our Member Contact Center or visit your nearest branch location.

Member Applications:

• Membership Application With Option for Credit Request (Savings, Checking, and/or Money Market)
• Consumer Loan Application
• VISA Credit Card Application
• Trust Account Application
• Estate Account Application
• VISA Debit or PEFCU ATM Card Application

Member Record Change Forms (please fax or mail forms to your nearest PEFCU location): 

• Account Change Form
• Account Security - Code Word
• ACH Unauthorized Activity Form 
• Affidavit of Forgery
• Change of Address (due to privacy and security concerns, we cannot change your address without your signature)
• Check & ACH Stop Payment Add or Release
• Consent to Contact Form
• Courtesy Pay Opt Out
• Declaration of Loss on Certified, Cashier's, or Teller's Check
• Joint Removal Form
• Money Order Stop Payment Form
• Overdrafts and Your Account - Information on Debit Authorization
• Seasonal Change of Address
• Secondary Overdraft Protection Form
• Unauthorized Remotely Created Check Affidavit 
• Update Beneficiary Form
• VISA Auto Transfer Payments

VISA Credit & Debit Dispute Forms:

• VISA Credit or Debit Card Non-Fraud Dispute Form
• VISA Credit or Debit Card Fraudulent Transaction Form
• Stop Payment Form On Recurring Charges

Please fax or mail the VISA Credit or Debit Card Holder Dispute Form & Fraudulent Transaction Dispute Form to:

Fax - 1-863-797-1396

Mailing Address:

For questions or to activate or report a card as lost or stolen, please call (toll-free)1-855-477-1129.     

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