affidavit of relationship to open family/household
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AFFIDAVIT of Relationship OAS Staff FCU 1889 F Street, NW y Washington, DC 20006 Tel: 202-458-3834 y Fax: 202-458-3838 MEMBER AND FAMILY MEMBER INFORMATION Member Name Account No. Family Member Name Email Address Relationship Other Non-Family Member Mother/Father Son/Daughter Household Member Husband/Wife Brother/Sister Other______________________________ AGREEMENT AND MEMBER SIGNATURE By signing this form I certify that the person listed under family member name is related to me in the manner listed above; that I am enclosing copies of the necessary forms of identification and, to the best of my knowledge, they are lawful and valid forms of identification; that I am providing this information under the US Patriot Act, and that I have a reasonable belief that the information provided is accurate and current. Signature Date FOR CREDIT UNION USE ONLY Copias verificadas en (Fecha) Información completa: Si No Cuenta abierta Si Información faltante Fecha limite para entregar documentación Verificada por: Aprobada por: NOTE: PLEASE INITIAL THE PHOTOCOPIES OF EACH OF THE VALID IDENTIFICATION CARDS THAT YOU ARE PRESENTING TO OPEN THIS ACCOUNT. No Print Form
