Louisville Medical Center Federal Credit Union
Telephone: 502-629-3716 home | about LMFCU | contact Us

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Forms

Click on any of the forms below to "Print Your Own."
Not sure which form is right for you?  Give us a call at (502) 629-3716.


PayItBanner 

To enroll in PayIT, please print our AnyTime Access Request Form, check the PayIT box at the top and fill in the information and your signature below.  Fax or mail the form back to the Credit Union. (Fax: 502-629-3715)

Other Bill Pay forms and disclosures:  PayIT Bill Payment Agreement and Disclosure  and  PayIT Instructions and FAQ

When we receive the form, we will set up your access and send you an e-mail to let you know you can start using bill pay. 

 


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Membership Forms


Application for Membership Form
This is our Application For Membership Form.  To join the Credit Union just print this form, follow the simple instructions and get it to us.  There is no fee to join the Credit Union, but you may want to include an initial deposit or fill out an Automatic Deposit Form.
    Joint Share Account Agreement
If you are you wish to make your account joint with another person, please complete this form and mail or bring it to the Credit Union office.

Customer Identification
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. We may also ask to see your driver’s license and other identifying documents.

If the address on your ID does not match the address on your application, we will ask you why they do not match and we will need additional verification of your current address.

Thank you for joining!


Automatic Deposit Form PigBank
One of the great benefits of Credit Union Membership is Automatic Deposit.  Any regular recurring check can be automatically deposited to your Share or Share Draft (Checking) Account, including Payroll, Social Security, Pension, etc.

Use this form to start or maintain your Automatic Deposit.  Easy 1-2-3 directions are included on the form or call us at (502) 629-3716 for more information.


Application for Share Draft (Checking) Account Checkook
Use this form to open a Share Draft (Checking) Account with your Credit Union.  You may also want to pick out Checks and get your automatic Automatic Deposit started.

Second Chance Checking
Use this Second Chance Checking addendum form if you are opening a Second Chance Checking Account.  Attach it to the Application for Share Draft Account form.

Second Chance Checking Conversion to Regular Checking Account
Use this form when you are eligible to convert your Second Chance Checking Account to a Regular Checking Account.  Reutrn the completed form to the Credit Union office.


Wire Out Transfer Form
Use this form to initiate a transfer of funds from your Credit Union account to an account with another financial institution.


Family Members

New Member Referral Form You Could Win $100
As a current member, you are already aware of the quality services offered through Louisville Medical Federal Credit Union -- why not share us with your co-workers, friends and family? For every referral you make, your name is entered in a quarterly drawing for $100.  If a new member opens an account they are eligible for rewards up to $50 (restrictions apply.)

Membership Forms are available by clicking HERE.

AnyTime Access Form   AnnAcc

Use this form to request access to your account information through $tatLINE Audio Response or VirtualBranch, internet home banking.  Access is free and is available 24/7.  See EFT Agreement at right.

You can also use this form to request and ATM or VISA Debit Card and our NEW On-Line Bill Pay service − PayIT or CUMoney Prepaid VISA CardSee PayIT Agreement, Disclosures, Instructions and FAQ at right.

   

Electronic Funds Transfer Agreement 
If you are applying for an ATM Card or a VISA Debit Card, please print this disclosure to go along with your Anytime Access Request Form.

PayIT Bill Pay Agreement & Disclosures
If you are applying for PayIT internet bill pay, please print the disclosure to go along with your Anytime Access Request Form.

PayIT Bill Pay Instructions and FAQ
View or print the document to help you navagate our bill pay service.


Loan Forms 

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Loan Application Forms and Instructions  
  • Installment Loans
  • Auto Loans (includes trucks/RVs/motorcycles, etc.)
  • VISA Credit Cards
Use this form to apply for any type of loan or credit card account with the exception of loans secured by real estate.  If you are applying for a loan secured by real estate, please call us at 502-629-3716 and a mortgage loan application form can be mailed or faxed to you.
    VISA Credit Card Agreement
As low as 9.9% Annual Percentage Rate.

If you're applying for a VISA Credit Card you will also want to click here for a copy of our VISA Application and Solicitation Disclosure.

VISA Application Form Fillable

You may request a copy of your VISA Credit Card Agreement or the Opening Account Disclosure anytime during business hours by calling us at 502-629-3716.


Skip-A-Payment Request Form

Use this form to skip a loan payment when the time is right for you - once every 12 months.  Use the cash you save to shop for the holidays, pay taxes, save up for a large purchase, or just plain catch up.

Please read all the Conditions on the form.  Skip-A-Payment Request Forms must be submitted at least two (2) weeks before the due date of the skipped payment.


Mortgage Loan Application

In addition to a completed Mortgage Loan Application, we will need the following information to process your loan request: 

1. Copy of your Deed showing the Deed Book and Page where it is recorded.
2. Statement of your current Mortgage Balance.
3. Proof of Homeowners Insurance 
    (If your current mortgage is with our Credit Union, we probably already have
     the first three items in your file.)
4. To verify your employment and income, we need a copy of your most recent paycheck stub showing year to date earnings.  Copies of last year’s tax return can also be accepted. If you want us to include other income, please provide verification of that income as well.

If you have any questions or need additional information, please call our office at 502-629-3716.


VISA Balance Transfer Request Form 
Use this form to transfer a balance from another high interest rate Credit Card to your low, fixed rate Louisville Medical Center Federal Credit Union VISA Credit Card Account.

Line-of-Credit Advance Request 
If you already have a pre-approved Line of Credit with us, you can use this form, rather than a full loan application, to request an advance.  Just indicate the amount you want advanced and any changes in employment, income, or debts and payments since your last application.


Christmas Club Forms   ChristmasClubGraphic12 

Christmas Club Accounts may be opened only from mid October through Christmas Eve each year.

Christmas Club Application
Use this form to open a NEW Christmas Club Account for next year.

Christmas Club Change or Stop Form
Use this form to CHANGE or STOP an existing Christmas Club Account for next year.


Lost/Stolen Form


Lost/Stolen Card Report - PIN Request Form (combination form)

FIRST, if your ATM, Debit or Credit Card has been lost or stolen,
CALL IMMEDIATELY TO REPORT IT:

To report a lost or stolen Credit Union Visa Credit card, call 1-800-991-4964.
To report a lost or stolen Credit Union ATM or Debit card, call 1-800-472-3272.

AFTER you have called, please follow up by completing this form and forwarding it to the Credit Union as soon as possible.

Use this combination form to report a Lost or Stolen ATM Card, Debit Card or VISA Credit Card.  You may also use this form to request a replacement card and/or to request re-issue of your PIN (personal identification number).


Fraud Affidavit Form

You can use this form to document fraud involving your Credit Union account. 

You can bring the completed form to the Credit Union office during business hours, fax it to us at 502-629-3715, or mail it to us at LMFCU, 234 East Gray Street, Suite 130, Louisville, KY  40202.


VISA Forms  
  VISARewards

Balance Transfer Request Form
Use this form to transfer a balance from another high interest rate Credit Card to your low, fixed rate Louisville Medical Center Federal Credit Union VISA Credit Card Account.

VISA Credit Card Agreement
This is a copy of our VISA Credit Card Disclosure and Agreement.  The VISA Account Opening Disclosure below is also a part of this agreement.

VISA Account Opening Disclosure
This addendum is part of your VISA Credit Card Agreement.  If you are opening a new VISA Credit Card account with us, please review this form. 

You may request a copy of your VISA Credit Card Agreement or the Opening Account Disclosure anytime during business hours by calling us at 502-629-3716.

 


Other Forms
For any other forms you may need, please call us at 502-629-3716 or e-mail us at ItsEasy@LMedFCU.org and we can mail or fax the forms you need.

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