Membership Application

Please provide all the requested information. When you have completed the form, click the Submit button. A membership package will be mailed to you with documents for you to sign and return to the credit union. You must maintain a $5 share/savings balance at all times to remain a FCCU member.

Our membership is open to anyone who works for an employer group of 500 employees or less within the state of Connecticut that provides Direct Deposit. Membership also extends to immediate family or household members. Once you join First Connecticut Credit Union, you may remain a member for life enjoying all the benefits of membership.

At First Connecticut Credit Union, protecting our members and their information is a top priority. For your protection, we use a process called SSL (Secure Socket Layer) to secure all online forms which contain your personal information. This secure session protects the safety and confidentiality of your personal information being transmitted to us online.

U.S. Patriot Act Information regarding Procedures for Opening a New Account: 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, First CT will ask for your name, address, date of birth, and other information that will allow the credit union to identify you. We may also ask to see your driver’s license or other identifying documents.

* fields are required

Please Choose How You Qualify for Membership
1. I work for a Non-Existing Employer Group of 500 employees or less within the state of Connecticut that provides Direct Deposit?
(If yes, you will need to provide name, address and phone of the non-existing employer group below.)
Membership Account Type
Will there be a POD (Payable on Death) beneficiary on the account? Is there a joint person on this account?
Primary Owner's Information
 
 
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(If you do not have a driver's licence, a state-issued photo ID is acceptable)
Joint Member No. 1 (required if requesting a Joint Account)
 
 
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(If you do not have a driver's licence, a state-issued photo ID is acceptable)
Joint Member No. 2 (required if requesting to add a second Joint Owner to the account)
W-9 Information
Are you subject to back-up withholding? (Answer yes if you have been notified by the IRS that you are subject to back-up withholding due to payee under-reporting.)
Are you a US Citizen?
Preferred Contact Method
We'll respond to your membership request within one business day.
How would you like us to contact you?
Select Account/Service type(s) you want to open upon receiving the completed paperwork:
Savings


Checking Accounts

Other Products & Services



Finishing Up
If you have any questions about your membership application, call Member Services (203) 269-8718 or e-mail us at service@firstconnecticut.org. To apply for a loan or credit card, please submit an Online Loan Application. All applications are subject to ChexSystems verification.

 

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