Bank Account Request Form

Bank Account Request Form

Please fill in each item

Is this regarding a troop or service unit bank account?
Is this a troop or service unit bank account?*

TroopService Unit
Troop Number*
Service Unit Number*
Are you wanting to:*

Open a new accountMake changes to an existing accountClose an account
I'd like to:*

Add signers to the accountRemove signers from the accountBothSomething else
What would you like to do?
Please be as specific as possible

Bank Information
Is this a checking or savings account?

CheckingSavings
Bank Name*
Name of Bank*
Bank Routing Number*
Bank Account Number*

New Bank Info
Preferred Bank Name
Leave blank for no preference
Name of Bank
What city would you like to bank in?*

Who is on this account?
Are you the troop's main point of contact for financial concerns?*

YesNo
Who is the troop's main point of contact for financial concerns?*
Name and contact information for troop treasurer.
Your Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number

Closing Account Reasons
Please explain why this account needs to be closed.
Give as much detail as possible

Other People Remove
List all people to be removed from account, and why.
Name

First NameLast Name
Email
example@example.com
Why?
Name

First NameLast Name
Email
example@example.com
Why?
Name

First NameLast Name
Email
example@example.com
Why?
Name

First NameLast Name
Email
example@example.com
Why?
Name

First NameLast Name
Email
example@example.com
Why?

Terms and Conditions 2
By submitting this form, you agree to the following terms and conditions: This is a request to close the troop or service unit bank account. Any funds remaining must be returned to Council. Funds will be transferred by Council to the new troop(s) any continuing girl members join. Balance must be divided equally among all continuing girls. Disbanding troop or service unit may request portion of remaining funds be allocated to specfic projects or departments. Requests for funds transfer will not be honored if not submitted at the time of account closure. This closure is non-reversible. Once the account has been closed and remaining funds transferred, it cannot be undone.
What do you want to happen to any funds remaining in the account?
I agree*

Yes
Name*

First NameLast Name
Signature*

Clear
Date*

MonthDayYear
Date

Terms
Terms and Conditions
By submitting this form, you and all the authorized signers on your group bank account acknowledge and agree to: Only have one open account for the troop or service unit. Maintain two registered, unrelated, and approved Girl Scout adults members as authorized signers on the account at all times. Deposit all group funds into and make all disbursements from the group bank account with the purpose of supporting Girl Scouts activities. Maintain an up-to-date check register and reconcile the check register to the bank statement every month. Pay group bills in a responsible, timely manner. Groups may not under any circumstances issue NSF (non-sufficient funds) checks. Authorized account signers who overdraw their account can be dismissed. Funds are to be spent on well-balanced program activities. Funds may not be used for any non-Girl Scout purpose. Under no circumstances shall the money be divided among members of the group for personal use, used by the authorized account signer for their personal use, or donated to another organization. Submit an Annual Finance Report by the due date each year. Retain check registers, bank statements, receipts and any other financial documentation for two years. Financial records must be submitted to Council if your troop or service unit is selected for a random audit. Communicate regularly with girls and their caregivers regarding where group funds come from and how they are spent. Request all account changes via a new Bank Account Request Form for review, verification and approval. Submit a ACH Authorization Form within three days of opening your group bank account. ACH Authorization Form must also be submitted annually by October 1.
I Agree*

Yes
Name*

First NameLast Name
Signature*

Clear
Left click and hold your mouse button to sign your name
Date*

MonthDayYear
Date

What Now?

Please hit submit below. Your request will be processed as soon as possible. You will be contacted if more information is required, or after your request has been approved.
Is there any other information we might need?
Should be Empty: