Find the forms you need to manage your accounts, switch to URW, apply for loans, or request other financial services. The forms shown below are PDFs that you can easily download and print.

Prefer to receive forms by mail? If so, please fill out our request form.
If you don’t see the form you need, please call us at 434-793-1278 or 866-URW-MFCU.

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Account Management

• ACH Origination Agreement – Use this form to setup an automatic draft from your other financial institution to make payments on your URW loan. 
• ACH Origination Cancellation – Use this form to cancel an automatic draft from your other financial institution used to make payments on your URW loan. 
• ACH Stop Payment Request – Use this form to request a stop payment on a preauthorized ACH. 
• Account Change Card – Use this form to request changes to your URW account.
• Account to Account Transfer Form
• Account Mover Transfer Request – Use this form to request a transfer from another financial institution to your URW accounts.
• Account Reconciliation Form – Use this form to reconcile your URW draft account to your monthly statement.
• Amendment to Share Certificate Agreement – Use this form to change ownership of beneficiaries on your URW share certificates.
• ATM Card Application – Use this form to request a URW ATM Card if you do not have a URW checking account.
• Certificate of Foreign Status of Beneficial Owner for United States Withholding (IRS Form W-8BEN) – Use this form if you are claiming treaty benefits or are claiming that you are a foreign person exempt from backup withholding.
• Check Card Application – Use this form to request a URW Check Card.
• Check Statement Reconciliation Form – Use this form to reconcile your URW draft or money market account to your monthly statement.
• Check Stop Payment Request – Use this form to request a stop payment on a check.

• Claim to Lost, Stolen, Destroyed, or Stale Dated Cashier’s Check – Use this form to claim a lost, stolen, destroyed , or stale dated cashier’s check. 

• Consumer Account Servicing Request
• CTR Information Form – Credit Union use only.
• Custodial Trust Account
• Deposit Voucher
• Direct Deposit Enrollment Form – Submit this form to your employer's payroll department to begin direct deposit to your URW account. 
• Direct Deposit Enrollment Form for SOVAH  – SOVAH employees submit this form along with the form above to your payroll department to begin direct deposit to your URW account.
• Federal Direct Deposit Form – Use this form to setup direct deposit of your federal benefit payments to your URW account.
• Fiduciary Account Application Packet
• Gift of Membership
• Goodyear Employees Direct Deposit Form – Use this form to setup direct deposit of your Goodyear payroll to your URW account.
• Goodyear Retiree Direct Deposit Form – Use this form to setup direct deposit of your Goodyear pension payments to your URW account.
• IRA Contribution Form – Use this form to make a contribution to your URW IRA.
• IRA Coverdell Contribution Form – Use this form to make a contribution to your URW Coverdell IRA.
• IRA Direct Transfer Form – Use this form to transfer funds from another IRA or qualified retirement plan into your URW IRA.
• IRA Beneficiary Designation Form – Use this form to designate the beneficiary of your URW IRA.
• IRA Withdrawal Form  – Use this form to withdraw funds from your URW IRA
• Roth IRA Application Form  – Use this form to open a new URW Roth IRA.
• Roth IRA Withdrawal Form – Use this form to withdraw funds from your URW Roth IRA.
• Membership Application Supplement for Foreign, National, and Organization Accounts
• Membership Application Supplement for Non-Resident Aliens (Bank Secrecy Act)
• Membership Brochure
• Membership Enrollment Packet
• Member Request for Tax Withholding
• Overdraft Privilege Opt-In Form – Use this form to authorize URW Community Federal Credit Union to pay overdrafts on your ATM and debit card transactions.
• Request for Change of Name and/or SSN
• Request for Taxpayer Identification Number and Certification (IRS Form W-9) – Use this form if you are a US person (including a resident alien) to give your correct Taxpayer Identification Number (TIN) to URW Community Federal Credit Union.
• Resolution to Conduct Business with URW Community Federal Credit Union By Organization
• Resolution to Conduct Business with URW Community Federal Credit Union By Public Unit
• Return of Unauthorized Check – Use this form to request the return of an unauthorized check that has cleared your account.  This form must be printed on URW letterhead and notarized.
• Stop Payment of URW Community Federal Check – Use this form to request a stop payment on a URW check. 
• Statement of Indemnity
• Statement of Indemnity by Attorney in fact
• Third Party Transfer Authorization Form for Online Banking
• VUTMA Account Form with Instructions  – Use this form when opening a VUTMA account.
• Written Statement of Unauthorized Debit  – Use this form to notify URW of an unauthorized or improper ACH entry to your account. 

Credit Cards & Loans

• Auto Loan
• Address Labels – Print these URW Mailing Labels using Avery 5160 Address Labels which can be purchased from your local office supply store.   
• Boat Loan Application Supplemental
• Continued Member Services Post-Bankruptcy Discharge Statement – Complete this form to pay your charged off loss due to bankruptcy.
• Credit Card Application – Use this form to request a URW Credit Card.
• Credit Card Additional Cardholders form
• Credit Card Balance Transfer Form
• Credit Card Debt Protection Form
• Credit Card Upgrade Form
• Equity Line
• Financial Hardship Application
• Guarantor’s Statement URW Member
• Guarantor’s Statement Non-Member
• Home Equity Advance Voucher – Use this form to request an advance from your URW Home Equity Line of Credit. 
• Letter of Intent to Sell Vehicle
• Limited Consent to Release Information
• Limited Power of Attorney
• Loans and Credit Application Packet
• Loan Application Checklist
• Loan Contract Modification Request
• Loan Payment Instructions
• Loan Payment Protection (Consumer)
• Loan Payment Protection (Credit Card)
• Loan Payment Protection (Home Equity)
• Loan Worksheet for Credit Union Officials – Credit Union use only.
• Mortgage Loan Automatic Payment Authorization
• Mortgage Modification
• Mortgage Subordination Agreement –Deed
• Mortgage Subordination Agreement -Mortgage
• Power of Attorney Agent’s Affidavit
• Request for Student's or Borrower's Taxpayer Identification Number and Certification (IRS form W-9S) – Use this form so we can begin sending you IRS Form 1098-E, Student Loan Interest Statement for tax deduction purposes.
• Secured Visa Closure or Conversion Request
• Statement of Assets
• Statement of Insurability 
• Uniform Commercial Code (UCC1)
• Visa Authorized User Form
• Visa Automatic Payment Form
• Visa Cardholder Dispute Form
• Visa Guide to Benefits

Disclosures

• Account Agreements Booklet
• Change in Terms
• URW Consumer Account Disclosure
• URW Privacy Notice 
• URW Terms and Conditions
• URW Mobile Banking Terms and Conditions
• NCUA Deposit Insurance Brochure 
• NCUA Insurance Coverage 
• Regulation D Explanation
• Important Information Disclosure

Disputes and Fraud

• Visa Cardholder Dispute Form
• Stop Payment Release Form
• Fraud Protection Checklist
• Credit Bureau Contact Information

Small Business

• VISA Commercial Guide to Benefits
• Small Business Account Opening Checklist – This form lists all the information you will need to bring when you visit URW to open your Business Account.
• Small Business Brochure
• Small Business Services Account Disclosure
• Small Business Services Application – Use this form to apply for a Business Account.
• Small Business Services Credit Application including Rates and Fees Disclosure
• Small Business Services Personal Financial Statement
• Small Business Services Relationship Change Form
• Written Statement of Unauthorized Debit (Business Accounts)

Other

• Free Application for Federal Student Aid (FAFSA) – Use this U.S. Department of Education form to apply for financial aid for college expenses.
• Service member Civil Relief Act
• Veterans Family Fund Packet