Authorized User Credit Card Application

Required Field

Cardholder Information

Authorized User Information

Please note: If you name your legal spouse as an authorized user, in accordance with federal law, UCB will report the credit history of the credit card account in your spouse's name as well as in yours.

(Click the + sign to add additional card holders)

Add Another User

Acknowledgements and Agreements

I hereby apply for a Visa Credit Card(s) to be issued to the above listed authorized users for use in conjunction with the above listed account. I agree that use of the Visa Credit Card will be subject to the terms and conditions contained in my Credit Card Agreement that was provided to me at the opening of my account.

By clicking submit below, I acknowledge that I have read the Electronic Record and Signature Disclosure. I also agree that the Internet access device(s) I will use to receive the related legal disclosures and agreements meet(s) the system requirements described in the disclosure presented below; and I consent to receiving the related legal disclosures and agreements.

Click Here to view the Electronic Record and Signature Disclosure.