Forms

Forms

Here are forms to assist you with your specific needs. Please note that some of these actions can be requested in Online Banking. To use a form below, simply complete the form, print it out, sign and return it in-person to any of our branch locations, mail it to Westerra Credit Union, P.O. Box 9408, Denver, CO 80209 or fax it to 1-866-208-1597.  More specific information may be found on some forms.  For security purposes, please do not return completed forms by email.

Membership Application

Change of Address Form

Account Ownership/Name Change

Direct Deposit/Third Party Direct Payment

  • Westerra Direct Deposit Form - Fill out, print and give this form to your employer to automate payroll deposits into your Westerra account.
  • Social Security Direct Deposit Form - Fill out, print, and bring this form to Westerra to automate Social Security deposits into your account.
  • Advice of Banking Account Change - Fill out, print and give this form to a biller so they can set up automatic payments from your account. You can also use our Bill Pay service in Online Banking.

Loan Payments/Funds Transfer

Switch Your Checking Account

Stop Payment (Checks/ACH)/Unauthorized ACH Debit Form

Credit Card Forms

  • ATM Transaction Dispute Form - Fill out this form to dispute an ATM transaction (such as an incorrect amount was dispensed or the amount you deposited differs from the amount on your receipt).
  • Fraudulent Transaction Dispute Form - Fill out this form if you see a transaction posted that you did not participate in or if your card has been lost or stolen.
  • Merchant Transaction Dispute Form - Fill out this form if you were overcharged, charged twice, were promised a credit and did not receive it or did not receive the merchandise or services purchased.

Check Reconciliation Form

Subordination Request Form

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