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 96730
Bellevue, WA 98009-7730

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 | Miscellaneous Forms

Membership Forms
Join Us Membership Form
Membership & Account Agreement
Your Insured Funds/NCUA Booklet
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; close account]
Check(ing) List [everything you need to know for switching your checking to Qualstar]
Affidavit of Forgery [to be completed when notifying us of forgery on your account]
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]
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

Payroll Forms
King County Payroll Deduction Form
City of Renton Payroll Form
Safeway Payroll Deduction – log in to HR Direct to enroll; see your store manager if you have questions.

If you do not work for one of the employers listed above, please contact us at 1-800-848-0018 and we will send you information to provide to your payroll department.

Loan Forms
Auto Loan Payoff Authorization
Mortgage Loan Payoff Authorization
Private Party Vehicle Purchase Instructions
Title Transfer Agreement
Loan Due Date Change Request Form
Loan Modification Application
Direct Payment Form [set up automatic loan 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.
Debit/Check, Credit & ATM Card Dispute Form & Instructions [instructions & form for disputing debit/check, credit or ATM card transactions]
Visa Gold Balance Transfer Form with 1% Cash Back-Online Version [offer available during promotional periods and within 30 days of opening a NEW card]1
Visa Gold Balance Transfer Form with 1% Cash Back-PDF Version [offer available during promotional periods and within 30 days of opening a NEW card]1
Visa Balance Transfer Form-PDF Version [Gold & Rewards cards]
Visa Balance Transfer Form-Online Version [Gold & Rewards cards]

1 1% cash back rebate is available during pre-determined promotional periods and/or on new Visa Gold cards in the first 30 days they are open and does not apply to purchases or cash advances; maximum total rebate amount is $150.00 and is applied to the member’s Visa loan balance; offer does not apply to Equity Visas.]

Miscellaneous Forms
Merchant Collection Form
Qualstar Employment Application
Small Estate Affidavit
Credit Report Dispute Instructions [includes instructions for disputing credit report items with Qualstar, as well as the main credit reporting agencies]