UHCU Forms

Access the following forms and either download them to your local machine or print them for immediate use.

Membership Application/Update
Please use this interactive form to complete a membership or update application and bring or mail the completed form to the credit union. New membership applications sent through the mail require your signature to be notarized and legible photocopies of driver licenses for all account owners.

Incoming Wire Transfer Instructions
Use this form to supply another financial institution the instructions for sending a wire transfer of funds to your UHCU account.

Outgoing - Domestic Wire Transfers
Use this form to send a wire transfer of funds to another financial institution within the United States.

Outgoing - International Wire Transfers
Use this form to send a wire transfer of funds to another financial institution outside of the United States.

MPHS Payroll Authorization Form
(For Mills Peninsula Health Services employees only)
Use this form to establish Direct Deposit or Payroll Deductions to your UHCU account.

Direct Deposit of Government Payments
Use form 1199A to establish Direct Deposit of your Social Security payments to a UHCU checking account. Instructions are supplied with the form.

ACH Stop Payment Request
This form acknowledges the account holder's request to stop payment on pre-authorized electronic funds transfers as indicated above.

Written Statement of Unauthorized Debit (ACH)
If any unauthorized debit (ACH) transactions have occurred on your account, we will need this written statement completed.


The forms in this section are in PDF (portable document file) format. If you do not have a PDF viewer currently installed on your computer, please install the free Acrobat Reader from Adobe.