Overdraft Consent ("Opt-In")

(Personal Checking Accounts Only)

You may have read or heard about the Federal Government regulations that cover one-time debit card and ATM transactions. Because of these regulations, we must have a personal checking account holder's consent prior to covering debit card and ATM transactions that would create an overdraft. This applies to customers with overdraft protection from savings or line of credit, as well as customers eligible for Banner Coverage – your checking account safety net, available up to an assigned limit. Your options are to:

Request coverage of everyday debit card and ATM transactions, select "Consent".
Remove those transactions from coverage, select "Decline".

Please complete the online consent form below:

First Name:*
Middle Initial:
Last Name:*
Street Address:*
City:*
State:*
Zip:*
Last 4 of Social Security Number:*
E-mail Address:*
Last 4 digits of your account number(s): (One account number per line)*	Must press Enter after each line
Opt-In/Out Selection:*	Consent Decline Revoke Consent

* Indicates a required field

You have a right to revoke this consent at any time.

You may revoke your consent online above, send us a written request, make a request at any branch location, or contact us by phone at 800-272-9933.