Authorization to Change Automatic Payments
Baltimore County Employees Federal Credit Union

Please fill out the form on your screen, print out and mail to the address listed below. The Credit Union requires an INK Signature for this application. We will not accept a faxed copy. This helps to reduce account fraud.

To Whom It May Concern:

I am writing to request and authorize you to change the account from which you debit my automatic payments.

This is in reference to the account I hold with your company:
Company Name:
My Account Number:
Name on Account:

Please discontinue making payments from my old account:
Old Financial Institution’s Name:
ABA/Routing Number:
Account Number:


I hereby authorize any future automatic payments to be electronically debited from my new Baltimore County Employees Federal Credit Union account.

Baltimore County Employees Federal Credit Union
23 W Susquehanna Ave
Towson, MD 21204
410-828-4730
ABA/Routing Number: 2520-7575-7

Account Number:
  Checking
  Savings

Please use the following personal information and signature authorization. Contact me with any questions.

Name:
Address:
Daytime Phone Number:


Member's Signature:
Date:

Contact each company to ask if you need to provide any other information and where to send your request.



Baltimore County Employees Federal Credit Union
23 W. Susquehanna Ave., Towson, MD 21204
410-828-4730

ABA/Routing Number: 2520-7575-7