Stop Payment Request



Stop Payment Request for Pre-Authorized Drafts (ACH) * indicates a required field
Note: This form cannot be used to stop a debit card purchase. To stop payment on a check you have written, please click on the "Stop Payment" button under Additional Services instead of using this form. To stop payment on a processed payment made in WebPay, please contact Member Services. Use this form to stop electronic payments only.
Member Number:
Primary Name
Address
City, State Zip	,
E-mail
Daytime Telephone
Please complete the following information to stop payment on a preauthorized electronic item:
* Account Number
Date of Item
Amount of Item
Stop Single Entry
Stop All Future Debits Under a Specific Authorization*
Company Name:
*If this stop payment order instructs the Credit Union to stop all future payments pursuant to a specific authorization involving a specific Originating Company, account holder should indicate by checking here to indicate that they have contacted the Company to revoke the authorization. Account holder agrees to provide a copy of the revocation of authorization to the Credit Union upon request. I agree to these terms.
Please read the following disclosure before submitting: Item Description. I request the Credit Union to stop payment on the pre-authorized electronic funds transfer ("EFT"), or ACH draft ("item") described above. I warrant the scheduled transfer date, and its exact amount is correct. I understand that the EXACT information on the item is necessary for the Credit Union's computer to identify the item. I understand that payments are stopped on amount only and that this will result in the return of any item presented against this account for this dollar amount during the time this Stop Payment Order is in effect. If I give the Credit Union the incorrect amount or any other incorrect information, the Credit Union will not be responsible for failing to stop payment on the item. Preauthorized EFT. I understand that a request to stop the payment of a single pre-authorized EFT will apply to the transfer identified above. If I wish to stop recurring pre-authorized EFTs, such requests will apply to all subsequent transfers, unless I withdraw the request. Stop Payment Order. I agree that the Credit Union will not be responsible for stopping payment unless my stop payment order is received by the Credit Union at least three (3) business days before the scheduled date of the pre-authorized EFT or ACH draft. I understand that my stop payment request is conditional and subject to the Credit Union's verification that the item has not already been paid or that some other action to pay the item has not been taken. I understand that my stop payment order will be in effect unless I withdraw the request. I also agree to notify the Credit Union promptly upon the issuance of any duplicate item which replaces the item subject to this order. I agree to pay the Credit Union's stop payment fee as set forth in the Fee Schedule. Indemnification. I agree to indemnify and hold the Credit Union harmless from all costs, including attorney's fees (to the extent permitted by law), damage or claims related to the Credit Union's action in refusing payment of the item, including claims of any joint owner, payee, or endorsee, or in failing to stop payment of an item as a result of incorrect information provided by me. I understand that this stop payment request will be processed on the business day received only if received prior to 4:00 p.m. EST.
* indicates a required field