MyCU Online Home Banking
To apply, print out and complete this form. Then return it to the credit union in person, by mail or fax to 202-673-3508.

Enrollment Request
(please print)

Please enroll me as a MyCU Online Home Banking user.

DGEFCU Account Number__________________________
Member's Name___________________________________
Member's SSN____________________________________
Mother's Maiden Name
(for security purposes)_______________________________

Joint Owner_______________________________________
Joint Owner's SSN__________________________________

Address__________________________________________
City, State, Zip_____________________________________

Daytime Phone___________________________________
E-mail address___________________________________

I acknowledge that I am the owner/joint owner of the above account. I understand that I will access my account with my Personal Identification Number (PIN). If I believe that my PIN has been lost or that someone has transferred funds without my consent I will tell you within two business days. I understand that I can lose no more than $50.00 if someone has used my PIN without my consent. If I do not tell you within two business days after I learn of the loss or theft of my PIN, and you can prove you could have stopped someone from using my PIN without my permission, I understand I could lose as much as $500.00.

I will notify you in writing to report any unauthorized transfers from my account immediately. Should I not notify you within 60 days of receiving my statement, I understand I will be liable for the amount of the transfers, if they could have been prevented had you been notified.

Member Name
(please print____________________________________________________

Signature_________________________________ Date_________________