Forms & Disclosures

Current Service Fees

• Fee Schedule
• HSA Fees

Other Disclosures

• Website Disclosures
• Privacy Policy

Member Forms

• Account Information Change Request Form
• Member Travel Notice
• Recurring ACH Payment Authorization Form
• Stop Payment Authorization Form (Draft/ Check)
• Stop Payment Authorization Form (ACH- stop a payment that has not posted)
• Written Statement of Unauthorized Debit (ACH- unauthorized debits that have posted)