Application Forms

New Membership Packet (PDF, opens new window)
Click here to become a Penn State Federal member. You will receive an Account Signature Card, Rate & Fee Schedule, Penny Instructions, and Membership Agreement. Fill out the application and mail in, drop off, or fax back to us.
Loan Application (PDF, opens new window) (DO NOT USE TO APPLY FOR VISA CREDIT CARDS)
Use this form to apply for a loan. Print out and return with payroll and tax forms as explained on page 1. Fill out and mail in or drop off (we will need your original signature). Do not use this application for Mortgage, Home Equity, Visa, or Home Equity Lines of Credit Loans.
Visa Platinum Credit Card Application (PDF, opens new window)
Use this form to apply for a Visa credit card, or to request a new Visa rate. Include payroll and tax forms as necessary. Complete the application, then mail in or drop off (we will need your original signature). (Do not use to order a Visa debit card.)
Home Equity Application (PDF, opens new window)
Use this form to apply for a home equity loan in Pennsylvania only. Print out, complete and sign the documents. Mail in or drop off at one of our locations (we will need your original signature). Do not use this application for Mortgages or Visa.
Home Equity Line of Credit Application (PDF, opens new window)
Use this form to apply for a home equity line of credit loan in Pennsylvania only. Print out, complete and sign the documents. Mail in or drop off at one of our locations (we will need your original signature). Do not use this application for Mortgages or Visa.
Skip-A-Pay (PDF, opens new window)
Complete this form to skip a Penn State Federal loan payment. Upon completion, mail in or drop off. For Skip-A-Pay questions, contact our Loan Department.
Benefits Plus Application (PDF, opens new window)
Become a Benefits Plus® member and start saving money on travel, dining, entertainment, gift cards, plus so much more. When you enroll, Identity Theft Restoration is also included. We're excited to offer Benefits Plus® for the great value of $5 a month. Just print the form, fill it out and return to one of our three locations. Click here for full details.
W-8BEN Form (PDF, opens new window)
Need a W-8BEN to submit with your membership application? If you are not a U.S. citizen, you will need to add this to your membership application. Complete this from and return it to Penn State Federal.

Account Change and Add Forms

Account Change Form (PDF, opens new window)
Click here to add a joint account owner, change your name, add or change a checking account, or change you checking account type. Fill form out and mail in, fax in, or drop off.
Debit/ATM Card Order Form (PDF, opens new window)
Fill out this form to order a new or replacement VISA debit/ATM card. Fax it in, mail it in or drop it off.
Penny On-Line Application (PDF, opens new window)
Please complete the application. You may then scan or take a picture of the application and email it to backoffice@pennstatefederal.com, fax it to 814-865-7713, or mail or drop off to Penn State Federal Credit Union, Attn: Back Office, 123 Amberleigh Lane, Bellefonte, PA 16823. Once we receive your completed application, a Credit Union Specialist will contact you by phone or email to finish the activation. After your online access is set up, you may then download our App in the App Store or Google Play Store to use mobile banking.
Address Change Form (PDF, opens new window)
Use this form to change your address with Penn State Federal. Fax it in, mail it in or drop it off.
ACH Stop Payment Request (PDF, opens new window)
To request an ACH Stop Payment, use this form and mail into Penn State Federal. You can also request a stop payment via phone, but must still send in the following form. For questions with Stop Payments, contact contact Back Office Services.
Check/Share Draft Stop Payment Request (PDF, opens new window)
To request a stop payment on a Penn State Federal check or share draft, use this form and mail to Penn State Federal. You can also request a stop payment via phone, but must still send in the request form. For questions with Stop Payments, contact, contact Back Office Services.
Wire Transfer Request (PDF, opens new window)
To wire locally from your Penn State Federal account, fill this form out and fax in, mail in or drop off. To wire Internationally you must be in person at one of our local branches. Penn State Federals Routing/transit # is 231386399. Contact Teller Services with any questions.
CD Renewal Letter (PDF, opens new window)
This form allows you to renew or change the term/type of your CD. Complete this from and return it to Penn State Federal.
Business Mobile Deposit Increase Request Form (PDF, opens new window)
Business members wishing to increase their daily mobile deposit limit, please complete and return to our Business Lending Department. Any questions, please call 865-5976.
Consumer Mobile Deposit Increase Request Form (PDF, opens new window)
Members requesting an increase to their daily mobile deposit limit, please complete and return to our back office.

Dispute & Fraudulent Activity Forms

Written Statement of Unauthorized Debit (PDF, opens new window)
To dispute an ACH transaction on your account, fill out this form and fax in, mail in or drop off. For more information, contact Back Office Services.
Visa Credit, Debit and ATM Cardholder Fraudulent Transaction Dispute Form (PDF, opens new window)
To dispute a fraudulent transaction on your account, complete this form and return it to Penn State Federal. For more information, contact Back Office Services.
Visa Credit, Debit and ATM Cardholder Dispute Form (PDF, opens new window)
To dispute a debit or ATM transaction on your account, complete this form and return it to Penn State Federal. For more information, contact Back Office Services.

Penn State University Payroll Distribution Form

Partial Payroll Deposit Request for PSU Employees (PDF, opens new window)
To have part of your PSU payroll deposited at Penn State Federal, complete this form and return it to Penn State Federal. PSU requires your original signature. For more PSU payroll information, please visit the Penn State website.

Many of these forms can be completed online and printed. In order to save them to your computer you need the full version of Adobe Acrobat Distiller.

Get Acrobat ReaderThese forms are all in Adobe PDF format. Need to download the free Adobe Acrobat Reader software to view? Download Acrobat (external website)