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You’re busy and don’t want to spend the time visiting a branch to ask about a form you need to sign up for our services. We get it. That’s why we make our most popular forms available here. Access them and fill them out whenever it’s convenient.

All the forms you need, right at your fingertips:

  • Pay Your Loan ACH Form – Use this form to transfer funds from another institution to Workers Credit Union to pay your auto loan. Forms may be mailed, brought to a branch or faxed to 978-353-4200, ATTN: ACH Department. If printing please print in black and white for legibility.
  • ACH Debit Origination Setup – Use this form to transfer funds to Workers from another institution. The fee is $5.00 for each one-time transfer, there is no charge for reoccurring transfers. Forms may be mailed, brought to a branch or faxed to 978-353-4200, ATTN: ACH Department. If printing please print in black and white for legibility.
  • ACH Credit Origination Setup – Use this form to transfer funds from Workers to another institution. The fee is $5.00 for each transfer, one-time or reoccurring. Forms may be mailed, brought to a branch or faxed to 978-353-4200, ATTN: ACH Department. If printing please print in black and white for legibility.
  • ACH Reoccurring Cancellation – Use this form to cancel a reoccurring ACH. This form can be faxed to 978-353-4200 and/or mailed to Workers Credit Union, Attn: ACH Dept, P.O. Box 8207, Fitchburg, MA 01420. If printing please print in black and white for legibility.
  • ACH Unauthorized Debits – This form is to be completed by a Workers Credit Union member who is reporting to us that an unauthorized ACH debit has occurred. Member must first contact the merchant to dispute the transaction. Then, if unsuccessful, an unauthorized form along with a signed letter of dispute can be sent to the ACH Department. This form can be faxed to 978-353-4200
  • Affidavit with Respect to Deceased Depositor – Use this form to claim funds for a person who is deceased. Must be notarized. Must also provide a copy of the original death certificate and executor forms. Must be mailed in or brought to a branch office.
  • Affidavit of Alteration – Use this form to report and altered or fictitious check that cleared your account. Must be notarized and mailed or brought to a branch office.
  • Automatic (Direct) Deposit – Provide this form to your payroll company/department to set up direct deposit.
  • Debit Card Application – Use this form to apply for a new debit card. May be mailed or faxed to 978-353-4200, Attn: Debit Department. Also may be brought to a branch office. If printing please print in black and white for legibility.
  • Business Debit Card Application – Use this form to apply for a new business debit card. May be mailed or faxed to 978-353-4200 ATTN: Debit Department. Also may be brought to a branch office. If printing please print in black and white for legibility.
  • Debit Card Fraud Affidavit – This form is completed by a Workers Credit Union member who is reporting to us that an unauthorized debit card transaction or transactions has occurred. This form can be faxed to 978-353-4200 and/or mailed to Workers Credit Union, Attn: Debit Card Dept, P.O. Box 8207, Fitchburg, MA 01420. If printing please print in black and white for legibility.
  • Online Check Reorders – Reorder checks from Deluxe Corporation.
  • Online Withdrawal – Make a withdrawal from a statement account and have a bank check mailed to your address on file for your account.
  • Opt-in Form – Due to the regulatory requirements, if you currently have Overdraft Privilege on your account the service you currently have for everyday ATM transactions and debit card purchases will only continue until August 15, 2010, unless you notify us that you wish to continue to receive the service for those transactions after August 15, 2010. Use this form to Opt-in. This form can be faxed to 978-353-4200.
  • Preauthorized Transfer Setup – Use this form if you would like to set up an automatic monthly transfer from one account to another. Used to transfer between internal accounts held at Workers Credit Union only. To set up a transfer to or from another financial institution, please use the form titled ACH Origination Setup. You may fax this form to 978-353-4200, mail to PO Box 8207, Fitchburg, MA, or simply drop it by any Workers branch office. If printing please print in black and white for legibility.
  • Sign up for federal direct deposit  Direct deposit is the best way to get your Social Security and other federal benefit payments.

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