Online Banking Cross Account Transfer Authorization Please print, fill out and bring into one of Capital's locations.

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This form authorizes cross-account transfer access for Capital Credit Union's 24-Hour Access services. To have access, a 24-hour Personal Identification Number (PIN) must be issued for the account auhorized for withdrawals only. At least one signer, primary or joint, must have authorization to both accounts. If joint member status changes on one or both accounts this agreement will be void and a new authorization form must be completed with all new signers. This authorization can be canceled by the primary or joint member on either account at any time by completing the Authorization to Cancel portion of this form. 

Capital Credit Union is not responsible for withdrawals or deposits made as the result of access acquired by PIN misuse. Members are responsible to protect the privacy of their PIN and should never give code access to unauthorized signers. Transactions resulting in fraudulent or illegal access will be prosecuted. If you suspect your PIN has been lost or stolen, call or e-mail any Capital Credit Union office to cancel access until a new 24-hour PIN can be issued.

Withdrawal Account

I (We) authorize Capital Credit Union to link Account Number _____________(surname:____)as the primary account for cross-account transfer, withdrawal access only.

Member’s Signature _____________________________________ Date____________

Deposit Account

I (We) authorize Capital Credit Union to link Account Number _____________(surname:____) as the account for cross-account transfer, for deposit access only.

Member's Signature _____________________________________ Date____________

Authorization to Cancel

As an authorized signer on Account Number _______________ , I am canceling the cross-account transfer access linked to Account Number ______________

Member's Signature ____________________________________Date____________

For Office Use Only Employee Teller # / Initials: _____________ / ________ Date: ________________ ⇑ Set up Cross Account Transfers on Branch Suites (C24A) ⇑ Verified by another employee (teller # / initials) _____________ / ________   Teller Stamp Here *Send completed form to Calumet to be filed.