In order to request a replacement Visa Debit card for your account, please complete and submit the form below. If your card has been lost or stolen, or if you have any questions about completing this application, please contact our Call Center at 1-800-860-1238.
By clicking the "I Agree" box below, the applicant requests the described services and agrees to the terms and conditions governing the services, including any fees and charges. The applicant agrees that all information provided is accurate and authorizes First Federal Bank of Louisiana to order the card type selected above and assess the $8 Replacement Card Fee, if applicable, to the Checking Account Number provided in the application. Check the "I Agree" box below to indicate that you, the applicant, have read the Electronic Funds Transfer Act Agreement and accept its terms.