ACH Setup (External Transfers)

Use this form to link your other financial institution accounts to your Highway Crossroads Credit Union profile. You will be able to schedule on-demand fund transfers between your Highway Crossroads Credit Union and external bank accounts. You may also choose to set up recurring transfers either to or from your Highway Crossroads account. Please allow one week for this feature to be set up for your account. After the ACH is set up, funds can be transferred within
one business day. Note: Your bank account must be cleared through a financial institution in the United States and the check must be payable in U.S. dollars.

Highway Crossroads Credit Union Information
Your Name Your Name First Middle Last
Last 4 digits of SSN
HCCU Account Number
Contact Number Contact Number - ### - ### ####
Email
Type of ACH Request (check one)

Type of ACH Request (check one) New ACH Request Update Existing Request Delete ACH on File
External Financial Institution Account Information

(Refer to your bank statement for the following information)
Name as it appears on your bank account
Bank Name
Bank Account Type

Bank Account Type Checking Savings
Routing Number
Account Number
On Demand Transfers

On demand (at your discretion) transfers between Highway Crossroads Credit Union and your external financial institution (as named above)
Check this box to setup on demand transfers

Check this box to setup on demand transfers Yes, please keep this information on file.

You will want to select this option in order to have this feature on your mobile app.
Recurring Transfers

For scheduled transfers between Highway Crossroads Credit Union and your external financial institution (as named above)
Check this box to setup recurring transfers

Check this box to setup recurring transfers Yes, I would like to have scheduled recurring transfers set up.
Please make selection

Please make selection Transfer TO other institution Receive FROM other institution
Transfer Frequency

Transfer Frequency Monthly Weekly
Frequency

Frequency Monthly Weekly
Transfer Amount $ Dollars . Cents
Amount $ Dollars . Cents
Please Read and Sign
I/we authorize Highway Crossroads to transfer funds between my/our security account(s) at Highway Crossroads and my/our bank account via automated funds transfer. In the event an entry is incorrect, Highway Crossroads reserves the right to submit correcting entries. Attached is a voided check so you have my/our necessary bank routing information.

I/we understand that it takes approximately one week from receipt of this form for this feature to be activated. This authorization remains in full force and effect until Highway Crossroads receives written notification of its termination or alteration. I/we acknowledge that the origination of ACH transactions to my account must comply with the provisions of the U.S. law.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Attach Voided Check
Upload a File

Attach Files

ACH Setup (External Transfers)

ACH Setup (External Transfers)

Highway Crossroads Credit Union Information

External Financial Institution Account Information

On Demand Transfers

Recurring Transfers

Please Read and Sign

Attach Voided Check