Model Forms

The following are model forms. Institutions may photocopy and use at their own discretion.

WBA NumberDescriptionView FormView Instructions
WBA 113Important Information About Your AccountForm 

WBA 127 ADD

Intent to Apply for Joint Credit

Form

 

WBA 141

Covered Borrower Identification Statement

Form

Instructions

WBA 142

Consumer Credit Disclosures Under the National Defense Authorization Act

Form

Instructions

WBA 313

What You Need to Know About Overdrafts and Overdraft Fees

Form 

WBA (FCRA) 604(b)(3)

Notice of use of Consumer Report for Employment Purposes

Form

Instructions

WBA (FCRA)1-606(a)(1)

Disclosure Regarding an Investigative Consumer Report

Form

Instructions

WBA (FCRA) 2-606(b)

Disclosure of Nature and Scope of Investigative Report

Form

Instructions

WBA (FCRA) 1-615(b)

Disclosure of Nature of Information from a Third Party other than a CRA

Form

Instructions

WBA 1003 ADD

Addendum to Uniform residential loan application

Form

Instructions

WBA 1003 FACT

FACT Act Addendum to Uniform residential loan application

Form

Instructions

PDF 1832

Special Form of Assignment for U.S. Registered Definitive  Securities (OMB No. 1535-0059)

Form

 

C-1

Model Form for Initial Opt-out Notice (Single-Affiliate Notice)

Form

Instructions

C-2

Model Form for Initial Opt-out Notice (Joint Notice)
 

Form

Instructions

C-3

Model Form for Renewal Notice [Single-Affiliate Notice]
 

Form

Instructions

C-4

Model Form for Renewal Notice (Joint Notice)
 

Form

Instructions

C-5

Model Form for Voluntary "No Marketing" Notice

Form

Instructions

 

Memorandum of Understanding for Reporting Instances of Financial exploitation to the County Elder Adult-at-risk Agency

Form

 

MODELCommercial Internet Banking AgreementN/AContact FIPCO Sales to order this form in electronic format.
MODELConsumer Internet Banking Agreement and DisclosuresN/AContact FIPCO Sales to order this form in electronic format.