Membership is open to anyone who is currently a

state, county, or municipal employee in Allegheny County and their immediate family.

Step 1 – Complete the applicable sections of the application below

Step 2 – Name a beneficiary

Step 3 – Sign the application

Step 4 – Submit of a copy of your valid photo I.D.

Step 5 – Make your first deposit - minimum of $5





:Online Member Application

Ownership




Owner/Custodian
Family Member of #:

Street
Home Phone:

City/State/Zip
Work Phone:

Email Address:

Cell Phone:

Employer:
County of Employment:

Optional - Joint Account Ownership




Designate the Joint Ownership of this account if applicable.

Joint Owner

Home Phone:

Street:
Work Phone:

City/State/Zip:
Cell Phone:

Beneficiary


(Optional) Second Beneficiary

Beneficiary/POD/Payee:
Beneficiary/POD/Payee:
Street:
Street:
City/State/Zip:
City/State/Zip:
%:
%:




If Applicable





UTMA/UGMA (as custodian for (minor) under the Uniform Transfers/Gifts to Minors Act)

Authorization




By sending the form, I/we agree to the terms and conditions of membership, Truth-in-Savings Disclosure, Funds Availability Policy Disclosure, if applicable, and to any amendments the Credit Union makes from time to time which are incorporated herein. I/we acknowledge receipt of a copy of the Disclosures applicable to the accounts and services requested herein.

Name of Owner:

Date Format: DD-MM-YY
Name of Joint Owner:

Date

:Online Member Application

Ownership




Owner/Custodian
Family Member of #:

Street
Home Phone:

City/State/Zip
Work Phone:

Email Address:

Cell Phone:

Employer:
County of Employment:

TEXT FIELD

Optional - Joint Account Ownership




Designate the Joint Ownership of this account if applicable.

Joint Owner

Home Phone:

Street:
Work Phone:

City/State/Zip:
Cell Phone:

Beneficiary


(Optional) Second Beneficiary

Beneficiary/POD/Payee:
Beneficiary/POD/Payee:
Street:
Street:
City/State/Zip:
City/State/Zip:
%:
%:




If Applicable





UTMA/UGMA (as custodian for (minor) under the Uniform Transfers/Gifts to Minors Act)

Authorization




By sending the form, I/we agree to the terms and conditions of membership, Truth-in-Savings Disclosure, Funds Availability Policy Disclosure, if applicable, and to any amendments the Credit Union makes from time to time which are incorporated herein. I/we acknowledge receipt of a copy of the Disclosures applicable to the accounts and services requested herein.

Name of Owner:

Date Format: DD-MM-YY
Name of Joint Owner:

Date



To print out the form to complete offline, 

External link opens in new tab or windowclick here


If you already have the formed filled out (via hardcopy or pdf) you can upload the document here.
Upload file here:  

Be sure to submit the file once it has uploaded.


*We can also accommodate saving accounts for minors as well as accounts opened under the Uniform Gifts to Minors Act. If interested, please contact us for more details.


**Please note: if you are opening a joint account, all sections obtaining to joint accounts must be filled out and all

requirements such as signatures and photo I.D.’s must be completed by both parties.

 

***If you are joining as a family member, please be aware:

   - You must be a member of the immediate family

   - A copy of the current member's state or photo I.D. with signature verifying the relationship is required