Primary Account Holder Information
Type of Membership:
USA PATRIOT ACT INFORMATION
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.
First Name*:
Middle Name/Initial:
Last Name*:
What this means for you: When 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 or other identifying documents.
Mother's Maiden Name*:
SSN/TIN*: Don't Have
Date of Birth (MM/DD/YYYY)*:
/ /
If no SSN/TIN please leave blank.
Driver's License Number*:
Issuing State*:
You may enter your State ID or Passport Number. If passport Number Select Passport as Issuing State.
ID Expiration Date (MM/DD/YYYY)*:
/ /
Gender:
Occupation*:
Membership Affiliation*:
Please choose which Affiliation applies to your Membership.
User Name*:
Password*:
Verify Password*:
This is your Username and Password for our Online Home Banking System.
Passwords: are case sensitive; must not be the same as your username; must be between 8 and 20 characters long; must contain at least 1 number; may contain only letters, numbers and these special characters !#$%^&?*+=
Permanent Address
Address Type:
Address Line 1*:
Address Line 2:
No P.O. Boxes Please
City*:
State*:
Zip Code*:
Home Phone Number:
Mobile Phone Number:
Home Phone or Mobile Phone must be given.
E-mail Address*:
Verify E-mail Address*:
If your mailing address is different please check here.
Options and Benefits
Share Savings - Required for Membership
This basic Share is required with a minimum balance of $5.00
Checking
Deliver Card To:
Visa Credit Card(requires additional information.)
No annual fees, fixed interest rate, at least 25 day grace period, ATM access, overdraft option.
How Did You Hear About Us?
Additional Features
MemberNet - FREE
Our easy to use internet banking solution. View account histories, perform transfers, view checks posted to your account, make check copies.
BillPay - FREE (With Checking)
Pay all your bills and transfer funds online.
E-Statements - FREE
Receive all your statements electronically through MemberNet. Paper statements available at $1 per statement.
Mobile Banking - FREE
Our easy to use Mobile Banking solution. View account histories, perform transfers, and pay your bills all from the convenience of your smartphone.
TIN Certification & Backup Withholding Information

Under penalties of perjury, I certify that:

  1. The number shown on this form is my correct taxpayer identification number.
  2. I am not subject to backup withholding because I am exempt from backup withholding due to failure to report all interest and dividends.
  3. I am a U.S. person (including a U.S. resident alien) and am exempt from FATCA reporting.
    If you checked False for item 3 above your signature does not serve to certify this section and you must complete a W-8BEN certifying your foreign status for U.S. tax reporting.

By clicking "Accept", I agree to the following:

  • I confirm that I have opened and reviewed the Electronic Statement Disclosure and that I consent to receiving statements, notices and other disclosures electronically.
  • I agree to the terms and conditions in the credit union's Truth in Savings Disclosures and abide by and comply with all local, state, and federal rules and regulations.
  • I authorize University of Michigan Credit Union (“UMCU”) to obtain a standard consumer credit report on me from a credit reporting agency. UMCU will use the consumer credit report to determine whether my credit is eligible to support this request for an account. I understand that UMCU may also use the information contained in this credit report to offer other financial products and services that I may qualify for. By signing this application I agree to all terms/disclosures.

The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

Accept