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We’ve got you covered! With the recent events impacting the financial industry, we understand you may have questions, and even concerns, about the safety of your own deposits. First, you can rest assured that as a DIF Member Bank, all deposits with MountainOne are fully insured in excess of existing FDIC coverage. Still feeling unsure? Don’t fret! Our Mountaineers are here to guide you through any uncertainty. It’s in our nature! Learn more.

Forms

Here you will find helpful forms based on common customer requests.

We hope the form you need is on this page. If not, please let us know and we’ll see if it can be added here for future reference.

Our applications are in Adobe Acrobat format (.pdf). Download a Free Version of Adobe Acrobat

Lost or Stolen ATM / Debit Card

Complete this form to get a replacement for your lost or stolen ATM / Debit Card. Be sure to report the missing card immediately by calling 833-933-1681 U.S. or +1-812-647-9794 International.

Download Lost or Stolen Debit Card Form

Change of Address

In order to update your account address, we need an actual signature. Just complete this form, and fax or mail it to us, and we’ll update your information.

Download Change of Address Form

Stop Payment Request

If you need to stop payment on a check you’ve written, just print out this form, complete it, and return it to us according to the instructions on the form.

Download Stop Payment Request Form

Direct Deposit

Complete this form to change your direct deposit instructions with your employer.

Download Direct Deposit Form

Form W-8BEN Certificate of Foreign Status

This form is filed with the IRS (Internal Revenue Service) by citizens of foreign countries who are receiving “non service payments” and want to claim exemption from tax because they are eligible for a tax treaty with their own country.

Form W-8BEN Certificate of Foreign Status

Personal Financial Statement

If you need to complete a personal financial statement, please click the link below and print the form.

Download Personal Financial Statement Form

Questions?

Please call us at 855.444.6861 Monday – Friday from 8am-6pm or Saturday from 9am-12pm.

Contact Us