Forms
Addendum to Credit Card Agreement
Application for Employment
Authorized Signer Request
Auto Rental Insurance Disclosure
Check Fraud Affidavit
Check Reconciliation
Deposit/Payment Slip
Dispute Inquiry
Fee Schedule
Funds Wire Transfer Agreement
Joint Ownership Deletion
Plastic Card Affidavit

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Addendum to Credit Card Agreement
By signing this form, you pledge to us and grant to us a security interest in the included shareholdings with us, including paid shares and future payments on shares, to secure your credit card account. This form authorizes us to apply these shareholdings to pay any amounts due on the account or under this agreement if you should default.

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Authorized Signer Request
To add an authorized signer to a Credit Union 1 credit card.

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Auto Rental Insurance Disclosure
Auto rental insurance is available for Credit Union 1 members when renting an auto using your Credit Union 1 visa card. Please print and read this disclosure for more information on this insurance coverage.

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Check Fraud Affidavit
If you are the victim of check fraud, please complete this form and submit it to:
Credit Union 1
Attn: Legal Department
450 E 22nd Street
Lombard, IL 60148
Note: This form will need to be Notarized. Notarization is a free member service to Credit Union 1 members. Please visit any
branch.

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Check Reconciliation
Having problems reconciling your Credit Union 1 account? Please print this form and use it to help you balance your account.

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Deposit/Payment Slip
Want to mail in a payment or a deposit but don't have any deposit/payment slips? Please print this form, complete and submit with your deposit/payment instructions to:
Credit Union 1
Attn: Tellers
PO Box 100
Rantoul, IL 61866

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Dispute Inquiry
Are their transactions on your account done with your ATM / Visa Check card that you did not perform?
Please complete this form in conjunction with the Plastic Card Affidavit and submit it to:
Credit Union 1
Attn: Member Services
PO Box 100
Rantoul, IL 61866
Note: You will also need to file a police report and we will require that information as well.

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Fee Schedule
For the most recent and up to date listing of Credit Union 1 fees, please print.

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Joint Ownership Deletion
To remove a joint account holder, please print this form, complete it and have the joint owner being deleted sign the form.
Note: This form will need to be Notarized. Notarization is a free member service to Credit Union 1 members. Please visit any
branch.

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Plastic Card Affidavit
Are their transactions on your account done with your ATM / Visa Check card that you did not perform?
Please complete this form in conjunction with the Dispute Inquiry form and submit it to:
Credit Union 1
Attn: Member Services
PO Box 100
Rantoul, IL 61866
Note: You will also need to file a police report and we will require that information as well. This form will need to be Notarized. Notarization is a free member service to Credit Union 1 members. Please visit any
branch.

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