E Statement Disclosure Agreement Enrollment Form printable pdf download

E-Statement Disclosure Agreement-

Enrollment Form

ELECTRONIC DISCLOSURE AGREEMENT – Accessing your LCFCU E-statements confirms your agreement to be bound by all disclosures

and agreements, and acknowledges your receipt and understanding of this agreement. By entering into this agreement, you understand that

LCFCU will no longer be providing you with a monthly paper statement. Your statements will be available by e-mail, generally on or around the

5th business day of each month for those receiving monthly statements. If you normally receive a quarterly statement, your statement will be

e-mailed to you around the 5th business day in January, April, July and October. You will be notified through e-mail that your e-statement is

available.

ACCESSING YOUR E-STATEMENTS– In order to access your E-statements online, you must first establish and maintain an accurate e-mail

address. Secondly, you must have a sign-on password to LCFCU OnLine Banking. An internet connection that supports 128-bit encryption is

recommended. You must have access to Adobe Acrobat Reader software (available at no charge at ) to access your

E-statements, and a printer or ability to download the E-statements for your records.

SERVICE AVAILABILITY – The service providing E-statements is generally available 24 hours a day, 7 days a week, however this service

may be unavailable from time to time for routine software and hardware maintenance, or due to unscheduled down time.

ERROR RESOLUTION – You understand the importance of your role in preventing misuse of your account. You agree to promptly examine

your statement and notify us immediately of any errors on your account. We must hear from you no later than sixty (60) days after we sent the

first statement on which the problem appears. You may contact us at (530) 257-7736.

CONFIDENTIALITY – You agree to protect the confidentiality of your account, account number, and your personal identification number.

LCFCU will disclose information to third parties about your E-statement access only when: 1) When it is necessary for completing a technical

support call to our E-statement provider. 2) In order to verify the existence of conditions of your account. 3) To comply with a government

agency or applicable law.

CHANGE IN TERMS – It may be necessary from time to time, to change the terms or conditions regarding your statement access. In the event

such a change is necessary, we will display a message via e-mail notification.

E-MAIL ADDRESS – If you change your e-mail address, it is your responsibility to notify us of your new address as soon as possible to avoid

delays in receiving your E-statement.

OTHER ACCOUNT RELATED INFORMATION – We often include with your paper account statement other periodic notices that relate to

account notices or regulatory information, otherwise known as statement inserts. When you agree to accept electronic statements, you also

agree to receive other notices by electronic delivery.

CANCELLATION OF E-STATEMENTS – You have the right to terminate your E-statements access and receive paper statements at any time

upon delivery of written notice to LCFCU. If you wish to cancel E-statements and resume receipt of paper statements, you must notify us by

calling (530) 257-7736. If you cancel receipt of E-statements and wish to resume receiving E-statements in the future, it will be necessary for

you to go through the sign up process again. LCFCU has the right to terminate its obligation to provide E-statements service to you upon ten

days of prior written notice (e-mail acceptable).

PARTICIPATING PARTY RIGHTS – You agree to waive and release any claims against LCFCU arising out of or in any way related to the

E-statements service, except for those claims resulting solely from the negligent acts or omissions of the Credit Union. All questions regarding

your E-Statement access should be directed to the Credit Union during business hours at (530) 257-7736.

ACCEPTANCE DISCLOSURE - By signing your E-Statement enrollment form, you acknowledge that you accept and understand the terms of

this disclosure.

NAME___________________________________________________________________ ACCOUNT NUMBER_______________________

EMAIL ADDRESS___________________________________________________________________________________________________

HOME PHONE___________________________________________________________ DATE OF BIRTH___________________________

MAILING ADDRESS_________________________________________________________________________________________________

_________________________________________________________________________________________________________________

SIGNATURE_______________________________________________________________________________________________________

E Statement Disclosure Agreement Enrollment Form