Checking Account Application

Important Information About 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, we will ask you for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.


Are you applying for an individual or joint account?

Primary Account Holder

Joint Account Holder


Ownership type

If payable on death, enter beneficiary information.

Opening Deposit

Account Preferences

Check all that apply
Signature Card

We will contact you upon account approval to schedule a time that is convenient.


By submitting this application, I certify that I/we gave truthfully and fully provided the information required and that I am at least 18 years of age and live in the US. I certify that I have read and agreed to all the Terms & Conditions, Disclosures, and Privacy Policy. I agree that I may receive electronic communications posted on the Fiserv web site or delivered to the e-mail address I provide, including information required by various laws and regulations. I authorize Fiserv to access my credit bureau information, check my employment, and report to credit reporting agencies Fiserv's experience with me.