Secure Online Balance Transfer Request

Are you currently a member at County-City Credit Union? *

Yes

How are you eligible for a membership at County-City Credit Union? * 🛈

I live or work in: Jefferson County, the City of Watertown, the City of Whitewater, or the Village of Cambridge

I am an immediate family member of an existing member. (Immediate family = spouse, parent, step-parent, child, step-child, grandparent, grandchild, sibling, or a relative residing in the same household as the member)

What is the name of the relative who is currently a member at County-City Credit Union? *

Name (First, MI, Last) *

Date of Birth MM-DD-YYYY * +

Phone Number 999-999-9999 *

Email Address *

Name of Account To Be Transferred (Ex: Chase, Kohls, Menards, ...) *

Full Account Number To Be Transferred *

Amount To Be Transferred *

Authorization

By signing below, I authorize County-City Credit Union to review my balance transfer request, and if approved, to perform the transfer as indicated above.

Signature * 🛈

clear

Statement Upload

Please upload a current statement from the account you want transferred so our loan team can verify the account balance and make sure payment is sent to the correct location. If you are unable to upload the statement, you may skip this step, and instead bring the statement to the credit union for our loan team to copy.

Please click "Submit" below to submit your request. Thank you!