Individual Ownership Membership or Account Form

This form will allow you to open an individual (no joints) membership or additional checking account with Brightview Federal Credit Union. An initial deposit of $5.00 is due before a savings is opened. A savings must be opened in order to open a checking account. No deposit is required for the checking account. A Brightview representative will reach out to you with more instructions.

Account Type(Required)
Please select each account that you wish to open.
I will pay the $5.00 initial deposit for the savings through:(Required)
A $5.00 initial deposit is required before the savings can be opened. Once the savings is opened, no deposit is required for the checking. If the deposit is being paid online, a representative will reach out to you to take the deposit over the phone.
Primary Member's Name(Required)
Date of Birth(Required)
Email(Required)
If you are unsure how you qualify, please see our list of Select Employee Groups at https://www.brightviewcu.com/membership/ or by clicking "Join" on our website.
Start Date
Primary Member's Address(Required)
Address MUST MATCH your driver's license or government ID, or PROOF OF ADDRESS will be required before membership can be processed.
Expiration Date(Required)
Must be a government issued form of identification with a clear photo. Reproductions not accepted. If a regular photo or blurry copy of ID is submitted, membership will be denied.
Max. file size: 64 MB.
Secondary Government Identification, Social Security Card (must be signed), Credit Card (Not Debit). If a regular photo or blurry copy of ID is submitted, membership will be denied.
Max. file size: 64 MB.
Payable Upon Death's Name(Required)
The Payable Upon Death (POD) will be the beneficiary of any account selected above. If you choose not to name a POD for the account, the funds will have to go through the legal process before being released to any survivors. This person will have no access to any accounts unless both Primary and Joint owners are deceased.
Payable Upon Death's Date of Birth(Required)
This information is used to verify the individual before releasing any funds. This person will have no access to any accounts unless both Primary and Joint owners are deceased.
Additional Services
If an additional service is unchecked, we will opt you out of that service. You will have to reach out to the credit union to reactivate that service in the future.
Primary Account Holder's Printed Name(Required)
By entering your name here, you agree to the statement in the TIN Certification and Backup Withholding Information section and the Authorization section.
Today's Date(Required)
IMPORTANT PLEASE READ: Please watch your email for further communication from the credit union. We will reach out with an automated email, and an additional email from a representative. If we are unable to reach you to process the initial deposit and signed paperwork, the membership will be denied.
This field is for validation purposes and should be left unchanged.