Laborer Members Laborers Membership Application

Please complete ALL required fields to submit your PRIMARY member application to access your Union Benefits.

Fields with an asterisk (*) are required.

If you would prefer to complete a PDF, you can download the Laborers Membership Form and open it in Adobe Reader to fill in the fields and print it out (download the PDF to your computer first.)

Please read and initial that you acknowledge access to required disclosures via electronic delivery:

  • Qualstar will provide all account disclosures electronically after the account is opened.
  • Access to these disclosures is provided via website links (PDF copies can be downloaded), and your access is confirmed by your completion of this application which is also provided electronically.
  • A PDF reader is needed to view the disclosures - free versions are available for desktop and mobile, based on your device.
  • This agreement to electronic delivery applies only to this request and does not apply to any subsequent disclosures or future communications.
  • You can request paper copies by calling 1-800-848-0018 or send a secure message via Mobile or Home Banking once registered for access.

Please read prior to submitting your application: USA PATRIOT Act Disclosure

Jr., Sr., II III, etc.
Please upload an image of your State ID (jpg, png, or pdf only) - 30MB size limit. IMPORTANT: If the image uploaded is not your State ID, your application will not be processed.
One file only.
30 MB limit.
Allowed types: jpg jpeg png pdf.
(Please choose carefully; this will be required when you call or come to a branch.)
If you forget your word, we will provide this hint to remind you; e.g. if your word is "Evergreen" a hint could be "WA state nickname."

By initialing, you authorize Qualstar Credit Union to send text messages to the mobile number provided. Texts may include service-related messages about your account as well as occasional marketing or promotional messages. Because these messages may come from the same phone number, replying STOP may stop both service and marketing texts from Qualstar. Consent to receive marketing texts is not required as a condition of membership, account opening, or receiving any product or service. Message frequency may vary. Message and data rates may apply. Type Initials Below:

Note: Does not apply to IRA accounts.
Please indicate other products/services you are interested in, and we will contact you with more information

By initialing below (my electronic signature), I/we acknowledge receipt of and agree to be bound by the Membership and Account Agreement, Truth-in-Savings Rate and Fee Schedule, and Funds Availability Policy Disclosure, as applicable, including future amendments, available at www.qualstarcu.com/about-us. If a debit card or electronic funds transfer (EFT) service is provided, I/we agree to the Electronic Funds Transfer Agreement. Qualstar Credit Union may obtain consumer credit reports, verify employment history, and respond to credit inquiries for purposes related to account opening, account maintenance, loan requests, and evaluation of eligibility for additional credit products or services, as permitted by law. Unclaimed funds may be transferred under Washington State unclaimed property laws or returned to the applicable union benefit trust, as permitted.

By initialing, I certify, that I am a U.S. citizen or other U.S. person, the SSN/TIN provided is correct, and I am not subject to backup withholding unless designated below. 

Consent is given for Qualstar Credit Union and its service providers to contact me at any telephone number provided, including mobile numbers, for account servicing and administration using calls, texts, prerecorded or artificial voice messages, or automated dialing systems. By submitting this application, you authorize Qualstar CU to obtain your credit report for the purpose of opening your account.. All authorizations remain in effect until revoked by written or other reasonable notice. Type Initials Below:

Tax Status
These options are not common, if you are not sure of your status please contact us.

Be sure to click the “Submit” button to send us the primary application – after that you should see a pop-up message that confirms your application has been successfully received. Any incomplete fields will be highlighted – you will need to complete and then click “Submit.”

After receiving the success message for submitting the primary application, you can add a joint member/account owner (please do not submit a joint application without the primary submitted first.)