Note: All fields with an asterisk (*) indicate required fields that must be completed before submitting your application.
General Information
Will there be a co-applicant on this application? No Yes, Joint-Applicant
Membership Eligibility:
Employee Employer Name:
Family Member Family Name:
Type of Account
Savings Checking Christmas Club Vacation Club
Certificate of Deposit Youth Program Other
Primary Applicant:
Last Name: * Middle Name:
First Name: * Social Security Number (TIN): *
Date of Birth: * Home Phone Number: *
Work Phone Number: * Cell Phone Number:
Email Address: Mother's Maiden Name:
I certify that: The TIN is correct and I ( am / am not ) subject to back-up withholding and I am a U.S. Person (including a U.S. Resident Alien).
Drivers License #: *  
Home Address (not P.O. Box)
Address 1: *
Address 2:
City: * State, Zip: *
Time at Current Residence: * Residence Type: Own Rent Other:
Mailing Address (if different)
Address 1:
Address 2:
City: State, Zip:
Employment History
Present Employer Name: * Employer Phone Number: *
Employer's Address 1: *
Employer's Address 2:
City: * State, Zip: *
Job Title: * Job Start Date: *
References
Nearest Relative not Living With You
Last Name: * First Name:
Relationship: * Phone Number: *
Address 1:
Address 2:
City: State, Zip:
Additional Information
Special Instructions/Comments:
Joint Applicant:
Last Name: Middle Name:
First Name: Social Security Number (TIN):
Date of Birth: Home Phone Number:
Work Phone Number: Cell Phone Number:
Email Address: Mother's Maiden Name:
I certify that: The TIN is correct and I ( am / am not ) subject to back-up withholding and I am a U.S. Person (including a U.S. Resident Alien).
Drivers License #:  
Home Address (not P.O. Box)
Address 1:
Address 2:
City: State, Zip:
Time at Current Residence: Residence Type: Own Rent Other:
Mailing Address (if different)
Address 1:
Address 2:
City: State, Zip:
Employment History
Present Employer Name: Employer Phone Number:
Employer's Address 1:
Employer's Address 2:
City: State, Zip:
Job Title: Job Start Date:
References
Nearest Relative not Living With You
Last Name: First Name:
Relationship: Phone Number:
Address 1:
Address 2:
City: State, Zip:
Additional Information
Special Instructions/Comments:
Disclaimers

To: Chicago Post Office Employees Credit Union

* I am providing the above information for the purpose of obtaining an account and I authorize you to obtain additional information concerning any of the statements I have made. I also authorize you to make inquiries you feel are necessary to determine my credit worthiness including, but not limited to, obtaining credit reports from credit reporting agencies and other credit information from other sources. I also agree to provide additional documents as requested including, but not limited to picture ID, most recent pay stub and other verification as requested.

* I have read the Privacy Policy, Notices, USA Patriot Act and the Funds Availability Policy that are posted on this website.