By submitting this form, I authorize New Jersey State PBA Federal Credit Union to add, verify, and/or process transfers to or from the external account listed above. I certify that I am an authorized owner or signer on the external account provided and that all information submitted is accurate and complete.

I understand that all transfer requests are subject to verification and review by the Credit Union. The Credit Union reserves the right to reject, delay, or cancel any transfer request if additional verification is required or if the information provided cannot be validated.

By checking the acknowledgment box below and submitting this form, I acknowledge and agree to the terms outlined above and authorize the account setup and/or transfers requested on this form.