Printable Forms

For your convenience, the forms provided here are available for downloading. Simply print the form(s) you need, complete the information, include your signature (if required), and bring it to any branch location, or you can mail it to:

Qualstar Credit Union
PO Box 3050
Bothell, WA 98041-3050

All forms are in PDF format and require Adobe Acrobat Reader to view and print (some forms may not be viewable on iPad or tablet devices.) If you have questions about the information requested on any of these forms, please contact us.

Membership Forms | Account Forms
Payroll Forms | Loan Forms
Visa® Credit/Debit/ATM Card Forms | Visa Dispute Forms | Miscellaneous Forms

Membership Forms
Join Us Membership Form
Join Us Youth Membership Form
Membership & Account Agreement
Your Insured Funds/NCUA Brochure
Privacy Policy
SwitchForm—ACH Payment Change [change any automatic payments or debits from another financial institution to Qualstar]
Switch Form—Checklist [check off all the things you need to do in order to move your accounts and services to Qualstar]
Switch Form—Close Account [request to have your account closed at another financial institution, and send any funds to Qualstar]
Switch Form—Debit/Check Card Payment Change [change any payments you have on other debit/check cards from another financial institution to Qualstar]
Switch Form—Direct Deposit Change [move your Direct Deposit from another Financial Institution to Qualstar]

Account Forms
Add/Remove Joint Accountholder Form
Account Change Form [name/address change; add,remove beneficiaries]
Check(ing) List [everything you need to know for switching your checking to Qualstar]
Bank by Mail Deposit Slips [for check deposits only – please do not send cash]
Outgoing Wire Transfer Form [to send a domestic or foreign wire transfer FROM your Qualstar account]
Incoming Wire Transfer Form [to send a domestic or foreign wire transfer TO your Qualstar account]
Extended Courtesy Pay Opt-In

Loan Forms
Auto Loan Payoff Authorization
Loan Payment Authorization Form
Mortgage Loan Payoff Authorization
Private Party Vehicle Purchase Instructions
Title Transfer Agreement
Loan Due Date Change Request Form
Loan Modification Application
Loan Direct Payment Authorization Form [set up automatic loan payments from your Qualstar or other financial institution account]
Mortgage Direct Payment Authorization Form [set up automatic mortgage payments from your Qualstar or other financial institution account]
Loan Skip Payment Form [eligible loans can skip one (1) payment every 12 months]
Home Improvement Loan Project Form

Visa Credit/Debit/ATM Card Forms
Current Visa Credit Agreement
Visa Gold Travel & Purchase Security Benefits
Visa Check Card Tips & Info.
Limited Time 2% REBATE Visa Balance Transfer Form [2% offer ends after 03/11/2023; maximum $300/year in rebates; credit is applied to Visa balance]1

Card & ACH Dispute Forms
Debit/Check, Credit & ATM Card Dispute Form & Instructions [instructions & form for disputing debit/check, credit or ATM card transactions]
Unauthorized ACH/Electronic Check Form [complete when notifying us of unauthorized ACH activity or electronic check clearing(s) on your account; information provided under penalty of perjury]

1 2% offer ends after 03/11/2023; 2% Rebate is for balance transfers from a non-Qualstar card or loan, and does not apply to purchases or cash advances; maximum $300 rebate per account for balance transfers; rebate will be applied to the Visa loan balance; offer does not apply to Equity Visas; transfers cannot be made to individuals.

Miscellaneous Forms
Merchant Collection Form
Qualstar Employment Application
Credit Report Dispute Instructions [includes instructions for disputing credit report items with Qualstar, as well as the main credit reporting agencies]
Credit Report Dispute Form [instructions & form for disputing a specific Qualstar CU item on your credit report]