Forms & Applications



Loan Application

Individual Credit: You must complete the APPLICANT section about yourself and the OTHER section about your spouse if:

  1. you live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI),

  2. your spouse will use the account, or

  3. you are relying on your spouse’s income as a basis for repayment. If you are relying on income from alimony, child support, or separate maintenance, complete the OTHER section to the extent possible about the person on whose payments you are relying.

Joint Credit: Each applicant must INDIVIDUALLY complete the appropriate section below. If Co-Borrower is spouse of the Applicant, mark the Co-Applicant box.

Guarantor: Complete the OTHER section if you are a guarantor on an account/loan.

Check below to indicate the type of account(s) and type of credit for which you are applying. Married Applicants may apply for a separate account. *
Repayment *
Borrower
Name *
Name
Home/Cell Phone *
Home/Cell Phone
Business/Work Phone
Business/Work Phone
Present Address *
Present Address
Do you *
*
Previous Address *
Previous Address
Did you *
*
Complete for joint credit, secured credit or if you live in a community property state:
Employer/Income
Address of Employer *
Address of Employer
Start Date *
Start Date
Please be sure to fill out "Pay Frequency" below.
Pay Frequency *
Notice
Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.
Starting Date
Starting Date
Ending Date
Ending Date
Military: Is duty station transfer expected during next year?
Ending/Separation Date
Ending/Separation Date
Other Borrower
Borrower Type:
Name
Name
Home/Cell Phone
Home/Cell Phone
Business/Work Phone
Business/Work Phone
Present Address
Present Address
Do you
Previous Address
Previous Address
Did you
Complete for joint credit, secured credit or if you live in a community property state:
Employer Address
Employer Address
Start Date
Start Date
Pay Frequency *
Notice
Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.
Starting Date
Starting Date
Ending Date
Ending Date
Military: Is duty station transfer expected during next year?
Ending/Separation Date
Ending/Separation Date


Helping Hands Application

Address
Address
Phone *
Phone
Date Hired *
Date Hired
Next Payday
Next Payday
Pay Frequency *
Please name two references below.
Currently in process of filing bankruptcy
Please read before submitting. Check box to agree. *
IMPORTANT
** Accounts at Northwest Missouri Regional Credit Union must be in good standing. **This loan must be paid before any more NW Helping Hands loans can be taken out. **All information must be completed and must be employed to take out loan.

Debit Card Application

Name *
Name
Address *
Address
Home Phone
Home Phone
Work Phone
Work Phone
Cell Phone
Cell Phone
I can be contacted by text messaging for debit card fraud alerts. (Check box) *
Opt In/Out: Beginning in October 2017, all NWMRCU debit cards were OPTED IN to an automatic billing updating service. This service provides information on debit card changes to merchants with recurring payment agreements. Examples may be a utility payment or subscription. To OPT OUT of the automatic billing updating service check the appropriate box:

Travel Form

Member Name *
Member Name
Primary Phone (during travel period) *
Primary Phone (during travel period)
Primary Phone Contact *
Secondary Phone (during travel period)
Secondary Phone (during travel period)
Secondary Phone Contact *
Alternate Contact (Optional): If the cardholder cannot be reached, the Alternate Contact may be contacted and asked to assist in locating the cardholder. No information about the transaction(s) will be given to this person, nor may this person speak on behalf of the cardholder.
Alternate Contact Name
Alternate Contact Name
Primary Phone
Primary Phone
Secondary Phone
Secondary Phone
Travel Details *
Travel Details
Date:

Membership Application

Once submitted, you will be contacted by an employee of the credit union. Thank you for your interest in our credit union.

Account Type *
All of the terms, conditions, form of account ownership, account selection and other information indicated on this card apply to all of the accounts listed unless the Credit Union is notified in writing of a change.
Overdraft Protection (check those that apply): *
Member Application and Ownership Information
A copy of driver’s license and proof of address if required for all owners.
Primary Member/Owner *
Primary Member/Owner
Physical Residence
Physical Residence
Mailing Address (if different)
Mailing Address (if different)
Home Phone
Home Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
Identification Information
Joint Member/Owner
Joint Member/Owner
Physical Residence
Physical Residence
Mailing Address (if different)
Mailing Address (if different)
Home Phone
Home Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
Identification Information
Joint Member/Owner
Joint Member/Owner
Physical Residence
Physical Residence
Mailing Address
Mailing Address
Home Phone
Home Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
Identification Information

Skip-A-Pay

Print the Holiday Skip-A-Payment form and fill it out completely before mailing or bringing into the credit union.


Address Change

Name *
Name
Date *
Date
Address
Address

Other Forms