Associated Federal Employees Federal Credit Union 
Bill Payer Setup Request Form
 

Fax:

 801-364-0815

Mail:

 Attn: Credit Union Staff
125 S. State St. Room #2205
Salt Lake City, UT 84138-1129
Please completely fill out the form and forward it to the Credit Union Staff.
   
   
Account #
(Required)
Last Name
(Required)
First Name
(Required)
Social Security #
(Required)
Birth Date #
(Required)
Email Address
(Required)
Mother's Maiden Name
   
  The following is a request to gain access to the Associated Federal Employees Federal Credit Union Bill Payer System. Access to the Bill Payer System may be refused If any information is incomplete or incorrect.

After the completed form is received by the Credit Union and approved, access will be given to the Bill Payer System. Notification and instructions will be sent in writing to the address listed with the account given on this form.
     
    FEES:

Non Sufficient Funds (NSF) $15.00

Stop Payments $15.00
     
     
  Signature: ______________________________________Date: _________________