Heartland Area Federal Credit Union Current Field of Membership

For your convenience, you may complete the following information for membership enrollment. We will use this information to establish your account. A membership and signature card will be prepared and mailed to you for your signature(s) and return.

By submitting this Application for Membership online, I agree to receive all required disclosures electronically.

USA Patriot Act
You Can Help Us in the War on Terrorism

The USA Patriot Act requires credit unions to take extra security precautions 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. These new procedures are designed to prevent crimes, such as identity theft and account fraud that terrorists commit to finance their operations against the US and its citizens.

Your Understanding & Cooperation Are Appreciated

When an account is opened or changed, you will be asked for your name, address, date of birth, and other information that will allow us to identify you. We will also ask to see your driver's license or other identifying government issued documents. The definition of an account covers a broad range of regular financial transactions such as deposit, transaction, asset, or credit accounts or other extension of credit. The required verification may be inconvenient for some but a strong deterrent for terrorists and other criminals.

If you are an existing member who joined the credit union before the USA Patriot Act rules became effective we may also need to verify and retain copies of any documents used to verify your identity when you request a new deposit account, apply for a loan or added as a signatory to a new or existing deposit or loan account.

You can rest assured that we will only request the information required by law... and that we will use the information only for purposes of complying with the law. Your privacy is our top concern, and we will respect and protect it as always, consistent with the law's requirements.

Thank you for your understanding and help in this critical effort. The war on terrorism will be fought on many fronts, and this is one of them.

Please Note: HAFCU Bylaws require that members establish and maintain a minimum savings account balance in order to be a member of HAFCU. The required balance is $5.00. Your account cannot be activated until we receive your membership savings deposit.

If you have any further questions, please contact us at:
Phone: (402) 571-8444
Fax: (402) 571-0462
Email

All information submitted to Heartland Area Federal Credit Union
is transmitted through a secure server.

Heartland Area Federal Credit Union Membership Application
Privacy Statement

Membership and Owner Information

Name

Address
City
State
ZIP
Employer
Business Phone
Home Phone
Date of Birth
Place of Birth
SSN or Tax ID Number
Mother's Maiden Name
Qualification for Membership:

Additional Information
Joint Owner (s) Information

Name
Address
City
State/Zip
Date of Birth
SSN/TIN
Phone
E-Mail
Name
Address
City
State/Zip
Date of Birth
SSN/TIN
Phone
E-Mail

Ownership of Account
The ownership type/rights at death designation specified on this document
will remain the same for all accounts listed below. (Select one of the following)

Single Party Account/Single Party Account 
(In the name of the member with no rights at death)
Single Party Account /Single Party Account with Pay-On-Death
Multiple-Party Account/Multiple-Party Account With Right of Survivorship
Multiple-Party Account/Multiple-Party Account With Pay-On-Death
Member as Custodian for Minor Under the Nebraska Uniform Transfers to Minors ACT (UTMA)
Other

Pay on Death Beneficiaries

To Add Pay-On-Death Beneficiaries Name One or More Here

Account Type

Share Draft
Money Market
Share Savings
Other

Heartland Area Federal Credit Union
6111 N. 72nd Street Omaha, NE 68134-2157
Toll Free 1-866-314-2328
(402) 571-8444 Fax: (402) 571-0462


Your savings Federally insured to at least $250,000
and backed by the full faith and credit of the United States Government.
National Credit Union Administration,
a U.S. Government Agency.


We do business in accordance with the
Federal Fair Housing Law and the
Equal Credit Opportunity Act.

Copyright 2000
Heartland Area Federal Credit Union
All rights reserved
Revised: October 21, 2008