Patriot Act Compliance

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. 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. Frick Tri-County Federal Credit Union also participates in a national fraud fighting system, which is designed to identify fraudulent banking activity. Any accounts found to be providing false identification or involved in fraudulent activity will be reported to the appropriate law enforcement agency.

Frick Financial Federal Credit Union Membership Application

Single Application*

Joint Application*

Which account would you like to open?

Primary Account Holder

First Name*

Middle Initial

Last Name*

Date of Birth*

Social Security No.*

Driver's License No.*

Driver's License State*

Address*

Address 2

City*

State*

Zip Code*

Phone (Best contact phone #)*

Email*

Employment Information

Current Employer*

Position*

Employee Start Date*

Beneficiary

Full Name*

Present Address*

Address 2

City*

State*

Zip Code*

Social Security Number

Co-Applicant

First Name

Middle Initial

Last Name

Date of Birth

Social Security No.

Driver's License No.

Driver's License State

Address

Address 2

City

State

Zip Code

Phone (Best contact phone #)

Employment Information

Current Employer

Position

Employee Start Date

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