Federally Insured by NCUA, Equal Housing Lender

Dormant Account Activation Form
Submitter Information (Required)
First Name
Last Name
Resolve the errors marked in red before submitting again.

If you have received a notice that your account has not been active, you can use this form to prevent remittance of your account to the state. One of our representatives may contact you to verify your submission.

Contact Information
Account Number (required)
Date of BirthArea Code / Phone No.E-Mail Address

How would you prefer to be contacted? (required)