Forms

Switching is easier at Bethpage. We know that switching your checking account from another financial institution can be time consuming, so we've put together this Switch Kit to make it as easy as possible.

• Switch your direct deposit
• Switch your automatic payments
• Close your old account

Once you have an account at Bethpage, you may experience some life changes that will require you to make some changes to your account. Download, fill out and mail or fax in the forms you need:

• Change of name
• Voluntary removal of joint owner
• Credit Card Authorized User Request Form

• Membership Signature Card
• Membership Signature Card (Youth)
• New York Uniform Transfers to Minors Act ("NYUTMA") Signature Card
• Custodian Transfer Funds to Minor (NYUTMA)
• Fiduciary Account Membership Signature Card
• Courtesy Pay Opt-in Form
• Tarjeta De Firma Para La Cuenta de Membresía

In order to open a Trust Account with Bethpage, the forms and documents below are required. Download the required forms, fill it out and bring it in to your local Bethpage branch.

• Copy of valid photo identification
• Trust document or Certificate of Trust – including Successor Trustee(s)


• Signature Card – completed and signed by all Trustee(s)
• Trustee Affidavit – completed and signed by all Trustee(s) and notarized
• Fiduciary Account Documentation Requirements

In order to establish a Power of Attorney with Bethpage, the forms and documents below are required. Download the required forms, fill it out and bring it in to your local Bethpage branch.

• Copy of valid photo identification for person(s) being appointed as agent(s)


• New York State Power of Attorney Short Form
• Power of Attorney Agent Information Form
• Affidavit Power of Attorney is in Full Force
• Fiduciary Account Documentation Requirements

Please accept our condolences on your loss. This guide will help you get started.

Below is a list of documents that may be applicable - please contact us at 800-628-7070 to inform us of the death so we can provide the applicable person(s) with a more specific list of required documents.

• Death Certificate with raised seal or certified copy (photocopies not valid)
• Copy of your valid photo identification
• Certificate of Letters of Testamentary or Administration – bearing seal from Surrogates Court (or similar Court) – dated within 6 months


• Deceased Withdrawal Transfer Form
• Affidavit in Support of Repayment of Deposits of Deceased Person
• Signature Card if you wish to open an Estate account
• Signature Card if you wish to update/add beneficiaries or owners

Need to make a contribution to your IRA Account? Download, fill out and mail the form to the following address:

Bethpage Federal Credit Union
Operations Center - IRA
P.O. Box 2069
Glen Burnie, MD 21060

If you need a different form or have any questions, please call 800-628-7070 and additional forms will be sent to you.

• IRA Contribution or Investment
• Roth IRA Contribution or Investment

For the busy business owner, the forms below provide access to the accounts and services you use most. Download the required form, fill it out and bring it in to your local Bethpage branch.

• Line of Credit / Credit Card Application
• Payroll Processing Merchant Card Processing Request

• Fiduciary Account Documentation Requirements

Want to make direct payments to your loan? Download and complete the following form.

• Automatic Loan Payment - (for Auto, RV, Unsecured)
• Automatic Loan Payment - (for Home Equity, Mortgage)

Complete the necessary forms in order to request a payoff on your Bethpage loan.

• Request for Payoff - (Home Equity, Mortgage)
• Request for Payoff - (Auto, RV, Unsecured)

Need to access your Home Equity Line of Credit? No problem! Download, fill out and fax or mail to the contact provided:

• Home Equity Line of Credit Advance
• Request for HELOC Fixed Rate Loan Option

Want to make sure you keep that great mortgage rate you qualify for? Download and fill out the Rate Lock form below and fax or email it to your mortgage loan officer, Monday through Friday, 11:00am - 5:00pm. Not sure of your loan officers contact info, click here to see a listing of the mortgage team.

• Mortgage Rate Lock-In

Request an Amortization Schedule for your Bethpage Loan.

• Amortization Schedule Request (1st Mortgage Loan)
• Amortization Schedule Request (Auto, RV, Unsecured)

Request a verification of your mortgage by completing the form below.

• Verification of Mortgage Request

Request a duplicate satisfaction of your mortgage by completing the form below.

• Request for Duplicate Satisfaction of Mortgage

Request a for the due date of your consumer loan by completing the form below.

• Request for Due Date Change

Request a duplicate Form 1098 by completing the form below.

• Request for Duplicate Form 1098

• Mastercard Debit Card Fraud and Dispute Claim Form
• Mastercard Credit Card Fraud Form
• Mastercard Credit Card Dispute Form
• ACH Written Statement of Unauthorized Debit Complete this form if you are disputing an ACH transaction (external withdrawal). This does not include debit card transactions.
• Stop Payment of Official Check
• Consumer Declaration of Fraud (Share Drafts)
• Fraud Declaration of Claimant
• Fraud Letter of Circumstance