Consumer Community Points Credit Card Application

Required Field

Please note: In order to initially establish a credit card with UCB, you must have a consumer account with the bank. This includes a checking account, savings account, or a loan.

Cardholder Information

First Name Middle Name Last Name Suffix Social Security Number Birth Date Current Address City State Zip Code Mailing address is different than street address

Mailing Address City State Zip Code

Country of Residence Mobile Phone Number Home Phone Number E-mail Address ID Type ID Number Issuer Issued Date Expiration Date Marital Status

Housing Status

Rent
Own

Monthly Housing Payment

Are you a US Citizen?

Are you a Permanent Resident?

Employment & Income Information

Gross Monthly Income Primary Source of Income

Are you Employed?

Employer's Name Occupation / Title Start Date

Have you worked here for more than two years?

Previous Employer

Employer's Name Start Date End Date

Authorized User Information

Would you like to add additional card holders?

(Click the + sign to add additional card holders)

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.

First Name Last Name Is this person your legal spouse? Social Security Number

 Add Another User

Acknowledgements and Agreements

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 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.

I hereby apply for the credit described in this application. I certify that I have made no misrepresentations in this application or in any related documents. I also certify that all information is true and complete and that I did not omit any information.

United Community Bank (UCB) reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. They may also access information about me from a consumer reporting agency, such as a copy of my credit report, before opening any account. By submitting this form, I authorize UCB to check my credit and verify identity.

By clicking submit below, I acknowledge that I have read the Electronic Record and Signature Disclosure, the Application and Solicitation Disclosure, and Privacy Policy and agree to the terms and conditions described therein. 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.

I have read and agree to the Electronic Record and Signature Disclosure and the Application and Solicitation Disclosure.

Click Here to view the Electronic Record and Signature Disclosure and the Application and Solicitation Disclosure.