Page 1 of 6
Please complete all required fields!
• Truth-in-Savings Disclosure and Agreement
• Privacy Notice
In the event of my death and all other joint owners predecease me, I hereby designate the person(s) whose name(s) appears below as my beneficiary to receive any and all amounts in this account(s).
611 W. Sixth Street Suite 875 Los Angeles, CA 90017 213.327.2093 213.327.0634 fax © 2016 Federal Employees West Federal Credit Union
611 W. Sixth St., Ste. 875 | Los Angeles, CA 90017213-327-2093 | 213-327-0634 fax
Federally insured by NCUA. Equal Housing Lender.