Opt in/out form

Courtesy Pay Opt-In form

Regulatory requirements require members to sign a consent form to participate in overdraft protection (Courtesy Pay) plans for ATM and debit transactions. As you know Courtesy Pay protects your checking account when you don't have enough funds in your checking account to cover a retail transaction. Please note that you do not need to sign the form to continue Courtesy Pay for checks or ACH items.

This is a secure form provided by Public Service Credit Union. Information submited by this form is encrypted. Please fill in the information below for your option.

First Name *

Last Name *

Email Address *

Account Number *

Courtesy Pay Regulations

You must read the Courtesy Pay Regulations *

I've read and fully understand the terms disclosed in the Courtesy Pay Regulations. I consent to receiving documents electronically.

I would like to.. *

Opt In (I understand I can Opt Out at anytime)

Opt out