Open an Account To sign up for Online Banking visit our enrollment page >> Leave me blank for Open Account. Are you currently a member of UICCU? Yes No Please allow us to verify your account information. Member Number (also known as your Account Number) * Name (Last, First, M.I.) * Social Security Number * Date of Birth * Primary Phone Number * Mother’s Maiden Name * Email Address * Residential Address * City * State * - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Mailing Address (if different from your Residential Address) City State - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code How can we assist you? Select all that apply Open a new deposit product with my existing account. Which deposit products are you interested in? Select all that apply. Checking Which checking account are you interested in? Rewards Checking (Learn More) R2 Checking (Learn More) Free Checking (Learn More) Access Checking (Learn More) Please select which free services you are interested in for your checking account: Online Banking Bill Payer Debit Card e-Statements Direct Deposit Certificate of Deposit (Learn More) Which term (in months) are you interested in? Months Click here to view our current rates and terms. ($500 minimum to open/$1,000 minimum on specials) Individual Retirement Account (Learn More) Which type of IRA are you interested in? Traditional Roth Which term (in months) are you interested in? Months Click here to view current rates and terms. Money Market (Learn More) Which type of Money Market are you interested in? Premier Money Market Mega Money Market Click here to view our current rates. Savings (Learn More) Add a joint member to my existing account (this member will be joint on all current and future deposit products within this member number with the exception of IRA's) Please provide Joint Member's information Name (Last, First, M.I.) * Social Security Number * Date of Birth * Primary Phone Number * Mother’s Maiden Name * Email Address * Driver’s License Number * Driver's License State * - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Residential Address * City * State * - Choose a State - please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Zip Code * Present Employer Name * Employer Phone Number * Job Title * Annual Income * Add a beneficiary to my account (this member will be joint on all current and future deposit products within this member number with the exception of IRA's) Please provide Beneficiary's information Name (Last, First, M.I.) * Social Security Number * Date of Birth * Primary Phone Number * Email Address * Residential Address * City * State * - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Relationship * Other Please explain how we can assist you. Signatures * In order to activate your account, we need your signature as well as a signature from any joint member (if applicable) submitted with this form. * I would like to sign my documents electronically (via e-mail) I will stop by a branch to sign: - Choose a Branch - - Choose a Branch - Downtown Iowa City - 500 Iowa Avenue Eastside Iowa City - 2525 Muscatine Avenue Westside Iowa City - 825 Mormon Trek Blvd Coralville - 1151 2nd Street North Liberty - 585 West Penn St Southwest Cedar Rapids - 2340 Edgewood Rd SW North Cedar Rapids - 1400 Blairs Ferry Rd NE Marion - 727 Oakbrook Dr Hiawatha - 405 S Blairsferry Crossing Cedar Falls - 3409 Cedar Heights Drive Grinnell - 705 6th Avenue North Liberty Financial Center - 2355 Landon Road Downtown Cedar Rapids – 716 A Avenue NE Davenport – 3402 Elmore Avenue Bettendorf - 2123 53rd Avenue Waterloo - 930 Tower Park Dr Waukee - 1085 Hickman Road West Des Moines - 390 Jordan Creek Parkway Mail it to me. Note: Documents and Photo ID must be notarized if you choose this option. Please review our customer identification policy before submitting membership application. * Thank you for using our website application. By placing this Web request, you certify that all statements made are true and complete. You authorize the credit union to obtain any information necessary to process this request, including a credit report. A credit union representative will contact you when your request is approved or if any additional information is needed. * Additional Comments How do you qualify for membership? * I live or work in Iowa or one of these 4 Illinois Counties: Henry, Knox, Mercer, or Rock Island. I am an alumni of the University of Iowa I am related to a current member (provide member number) Please complete the following: Name (Last, First, M.I.) * Social Security Number * Date of Birth * Primary Phone Number * Mother’s Maiden Name * Email Address * Driver’s License Number * Driver's License State * - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Residential Address * City * State * - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Residence Type * Rent Own Mailing Address (if different from your Residential Address) City State - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Present Employer Name * Employer Phone Number * Job Title * Annual Income * How can we assist you? Select all that apply Open a new account Which deposit products are you interested in? Select all that apply. Checking Which checking account are you interested in? Rewards Checking (Learn More) R2 Checking (Learn More) Free Checking (Learn More) Access Checking (Learn More) Please select which free services you are interested in for your checking account: Online Banking Bill Payer Debit Card e-Statements Direct Deposit Certificate of Deposit (Learn More) Which term (in months) are you interested in? Months Click here to view our current rates and terms. ($500 minimum to open/$1,000 minimum on specials) Individual Retirement Account (Learn More) Which type of IRA are you interested in? Traditional Roth Which term (in months) are you interested in? Months Click here to view current rates and terms. Money Market (Learn More) Which type of Money Market are you interested in? Premier Money Market Mega Money Market Click here to view current rates and terms. Which type of Money Market are you interested in? Premier Money Market Mega Money Market Click here to view our current rates. Savings (To become a member, you must open a savings account with at least $5.00. Learn More) Add a joint member to my account (this member will be joint on all current and future deposit products within this member number with the exception of IRA's) Please provide Joint Member's information Name (Last, First, M.I.) Social Security Number * Date of Birth * Primary Phone Number * Mother’s Maiden Name * Email Address * Driver’s License Number * Driver's License State * - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Residential Address * City * State * - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Present Employer Name * Employer Phone Number * Job Title * Annual Income * Add a beneficiary to my account (this member will be joint on all current and future deposit products within this member number with the exception of IRA's) Please provide Beneficiary's information Name (Last, First, M.I.) * Social Security Number * Date of Birth * Primary Phone Number * Email Address * Residential Address * City * State * - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Relationship * Other Please explain how we can assist you. References * Reference 1 Name (Last, First, M.I.) * Residential Address * City * State * - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Primary Phone Number * Reference 2 Name (Last, First, M.I.) * Residential Address * City * State * - Choose a State - - Choose a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Primary Phone Number * Signatures * In order to activate your account, we need your signature as well as a signature from any joint member (if applicable) submitted with this form. * I would like to sign my documents electronically (via e-mail) I will stop by a branch to sign: - Choose a Branch - - Choose a Branch - Downtown Iowa City - 500 Iowa Avenue Eastside Iowa City - 2525 Muscatine Avenue Westside Iowa City - 825 Mormon Trek Blvd Coralville - 1151 2nd Street North Liberty - 585 West Penn St Southwest Cedar Rapids - 2340 Edgewood Rd SW North Cedar Rapids - 1400 Blairs Ferry Rd NE Marion - 727 Oakbrook Dr Hiawatha - 405 S Blairsferry Crossing Cedar Falls - 3409 Cedar Heights Drive Grinnell - 705 6th Avenue North Liberty Financial Center - 2355 Landon Road Downtown Cedar Rapids – 716 A Avenue NE Davenport – 3402 Elmore Avenue Bettendorf - 2123 53rd Avenue Waterloo - 930 Tower Park Dr Waukee - 1085 Hickman Road West Des Moines - 390 Jordan Creek Parkway Mail it to me. Note: Documents and Photo ID must be notarized if you choose this option. Please review our customer identification policy before submitting membership application. * Thank you for using our website application. By placing this Web request, you certify that all statements made are true and complete. You authorize the credit union to obtain any information necessary to process this request, including a credit report. A credit union representative will contact you when your request is approved or if any additional information is needed. * Additional Comments Submit Reset There was an error submitting the form Thank you for your application! We will be in touch with you soon.