Open an Account

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Are you currently a member of UICCU?

Yes

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 -

Zip Code * Mailing Address (if different from your Residential Address) City State

- Choose a State -

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) Free Checking (Members living in Johnson County, Iowa. Learn More) Basic Checking (Members living outside Johnson County, Iowa. 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 -

Residential Address * City * State *

- Choose a State -

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 -

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 -

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 -

Residential Address * City * State *

- Choose a State -

Zip Code * Residence Type *

Rent Own

Mailing Address (if different from your Residential Address) City State

- Choose a State -

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

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 -

Residential Address * City * State *

- Choose a State -

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 -

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 -

Zip Code * Primary Phone Number *

Reference 2

Name (Last, First, M.I.) * Residential Address * City * State *

- Choose a State -

Zip Code * Primary Phone Number *

Signatures *

I will stop by a branch to sign:

- Choose a Branch -

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. *

Additional Comments

There was an error submitting the form

Open an Account

Are you currently a member of UICCU?

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