One Time ACH Payment Authorization 

Sign and complete this form to authorize Faith Cooperative Federal Credit Union to make a one time ACH debit to your checking or savings account.
By signing this form, you give us authorization to debit your account for the amount indicated on or after the indicated date. This is an authorization for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account

​I, authorize Faith Cooperative Federal Credit Union to debit my account indicated below for on This payment is to be deposited to my account at Faith Cooperative Federal Credit Union.

    Step 1: Complete the required information listed below:
    I attest I am the sole or joint owner of the above account. I understand that because this is an electronic transaction, these funds will be withdrawn from my account as soon as the date specified above, or up to 3 business days following receipt of form. I understand that the payment maybe rejected by above mentioned financial institution for reasons determined by my financial institution.

    Step 2: Sign & Date