Note: These documents are in PDF format and require Adobe Acrobat Reader to view.
If you don't have this software, you may download it free.
Change of Personal Information form
Use this form to request a change of your address, phone number or email. Simply complete the form and return it in person, by mail or by fax (See form for return address and fax number).
Visa Debit/Credit Card Fraud
F&A is committed to protecting you and your personal information. If you discover fraudulent use of your credit or debit card, call us to report it at 800-222-1226.
Visa Debit/Credit Card Dispute form
If you need to dispute a charge done with your F&A debit or credit card, please review the attached letter and complete the form to send to us.
ACH (Automated Clearing House) information and form
Click here to learn more about ACH and to access a form. This feature is used to easily move funds between financial institutions.
ACH Stop Payment
Use this form to request a stop payment of an ACH debit or electronic funds transfer. With this form you may also reinstate payments by canceling a previous request to stop a payment. Simply complete the form and return it by mail, by fax or in person.
ACH Fraud form (Do not use if fraud is on a card)
F&A is committed to protecting you and your personal information. If for any reason you should discover a fraudulent debit or electronic funds transfer, fill out this form. You may initially fax it to us but we will require the original to complete the processing of your claim.
ATM Deposit/Withdrawal Dispute
Complete this form when disputing an ATM withdrawal/deposit that was not accurately completed.
Stop Payment on a Member's Check
Use this form to request a stop payment on a member's check.
Application and Agreement for Trust Account form
Click here to access this guide & application. Fill out the form on-line, print, sign and deliver to your credit union. This application must have original signatures.
Authorization for Share and Loan Payment Transfers form
Sign up for automatic transfers to any share or loan you have with F&A. You may also transfer to other members, organizations or fire stations that hold accounts with F&A. Fill out the form on-line, print, sign, and fax or mail it to your credit union.
Authorization to Close Account
The form is to be filled out to close your membership with F&A.
Balance Transfer Request
The quickest and safest way to complete a balance transfer is to advance from your F&A Visa and deposit funds into your savings/checking account to schedule an electronic payment to the other credit card. Cash advance interest begins accruing at time of advance
Direct Deposit Authorization form (For LA County Fire Employees Only)
To set up your LA County Fire Department automatic payroll posting for the 15th and 30th of each month click here. Fill out the form, print, sign, and deliver to F&A FCU. The credit union must receive your information first and we will then forward your request to the county Auditing Department. We need the original form sent back to the credit union. Copies of the direct deposit form will not be accepted.
Did you know beginning April 16th, 2018 LA County now has an Employee Online Direct Authorization eForm available. Please contact LA County for more information.
LA County Payroll Deduction Card. Copies of the Payroll Deduction Card will be accepted.
LACERA Direct Deposit Authorization form. Copies of the direct deposit form will be accepted.
LACERA Payroll Deduction form. Copies of the Payroll Deduction form will be accepted.
Servicemember Civil Relief Act form
Visa Credit Card Authorized User Request form
If you would like to let someone use your Visa Credit card account with out having to apply for the card, fill-out this form and send it in with any other required documents. Your Authorized User Visa Credit card will be delivered to you with in 10 business days from the day we receive your request.
VISA Stop Payment
Use this form to request a stop payment of a scheduled or preauthorized payment of service or a merchant to your F&A Visa Credit Card or Visa Check Card. With this form you may also reinstate payments by canceling a previous request to stop a payment. Simply complete the form and return it by mail, by fax or in person.
Certificate of Authority form (For LA County Fire Station Accounts Only)
This document must be filled out by all signers on a loan for a fire station loan. Fill out the form, print, sign, and fax or mail it to your credit union.
Membership Application form
Fillable form. Please also see our Deposit Account Agreement and Truth-in-Savings Disclosure.
Minor Membership Application Fillable Form
Fillable form. Please also see our Deposit Account Agreement and Truth-in-Savings Disclosure.
Membership Signature Card Instructions form
Instructions to fill out a membership account signature card for a new member.
Association/Organization Application
Fillable Form.
Switch Kit
The form is to be filled out to close and transfer your entire relationship with another Financial Institution to F&A
Change in Beneficiary Designation form
This form is used to designate “Pay-on-Death” beneficiaries. This form cannot be used to designate beneficiaries on IRAs or Trust Accounts.
