Bank Account Request Form

Bank Account Request Form

This form is to request a new Troop or Service Unit bank account, make changes to existing account, transfer funds from one account to another, or request an audit of a troop or Service Unit bank account. Forms submitted by the 15th of the month will be completed by the end of the month. Please submit changes prior to the start of cookie season.
What is your request? (Select One)*

Open New AccountSigner Change (add signers to be removed in notes)Change Banks (add reason in notes)Disbanded TroopFund TransferAudit Request (add reason in notes)
Region*
Who is completing this form?*

First NameLast Name
Your email*
example@example.com
Troop/SU Information:
Troop Number (if applicable)
Service Unit Name
Bank Information (if applicable)
Name of Bank (Name, location)
Routing Number
Account Number
Signer Information: (This section is for New accounts, Signer changes and Change of Banks; add signer to be removed in notes)
Signer 1 Name (Card Holder)
Signer 1 Address
Signer 1 Email
Signer 1 Phone number

Signer 2 Name (Statements)
Signer 2 Address
Signer 2 Email
Signer 2 Phone number

Signer 3 Name (Optional)
Signer 3 Address
Signer 3 Email
Signer 3 Phone number
Disband Request
Date of Disband:
Number of Girls at Disband:
Are any girls transferring troops?
If yes, list Girl's name and troop number transferring to:
Fund Transfer Request
Date of Transfer:
Number of Girls in troop on transfer date:
List Girl's name and troop number transferring to:
Do you have any comments or notes about this request? (Signers to change, reason for audit, reason for closure, etc.)
Should be Empty: