Troop Bank Account Action Request Form
This form is to be completed by the SU Treasurer on behalf of a troop account.
Today's Date
-
Month
-
Day
Year
Date
Service Unit Treasurer Name
First Name
Last Name
Service Unit Treasurer Email
Ex: su1treasurer@gssc.us
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Service Unit #
Please Select
601
602
603
604
605
607
610
612
613
614
615
616
617
618
619
620
624
625
626
629
632
633
635
636
637
640
642
643
644
645
646
648
649
650
652
654
656
659
660
662
663
665
668
669
Troop #
Is this a newly formed troop?
Yes
No
Please indicate the bank action requested for this troop.
*
Opening New Account(s)
Closing Existing Account(s)
Addition/Removal of Troop Leader Signers on an Exisiting Account
Addition/Removal of Service Unit Treasurer on an Existing Account
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Next
Opening a New Account (s)
Please complete all of the required information below.
Please select the type of account(s) to be opened. Select all that apply.
Checking Account
Savings Account
Name of Financial Institution
Please Select
Apple Bank
Bank of America
Capital One
Chase Bank
Citibank
ConnectOne Bank
Dime Community Bank
Dime Savings Bank
Flagstar Bank
Flushing
Four Leaf Credit Union
Hanover Bank
Island Federal Credit Union
Jovia Credit Union
M & T Bank
Ridgewood Savings Bank
Suffolk Federal Credit Union
TD Bank
Valley Bank
Wells Fargo Bank
Address of Financial Institution
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Financial Institution Contact Name
First Name
Last Name
Financial Institution Contact or General Email
example@example.com
Signer #1: SU Treasurer full legal name as it appears on legal documentation
First Name
Last Name
Signer #1: Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Signer #1 Email Address
example@example.com
Signer #1 Mailing Address as it appears on legal documentation
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will this signer be issued a debit card?
Yes
No
Will the above mailing address be used as the primary mailing address for account bank statements and mailings?
Yes
No
If "No", please input mailing address to which bank statements and mailings will be sent to whose attention:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signer #2 - Troop Co-Leader #1 full legal name as it appears on legal documentation
First Name
Last Name
Signer #2-Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Signer # 2-Email
example@example.com
Signer #2 Mailing Address as it appears on legal documentation
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will this signer be issued a debit card?
Yes
No
Signer #3-Troop Co-Leader #2 full legal name as it appears on legal documentation
First Name
Last Name
Signer #3-Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Signer # 3-Email
example@example.com
Signer #3-Mailing Address as it appears on legal documentation
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will this signer be issued a debit card?
Yes
No
Date intended to open new accounts
-
Month
-
Day
Year
Date
Back
Next
Closing an Existing Account
Troop accounts may only be closed due to a troop disbanding, a change in financial institution, or account fraud. Please complete the required fields below.
Please select the account(s) to be closed. Select all that apply.
Troop Checking Account
Troop Savings Account
Checking Account #
Current Checking Account Balance
Savings Account #
Current Savings Account Balance
Name of Financial Institution
Please Select
Apple Bank
Bank of America
Capital One
Chase Bank
Citibank
ConnectOne Bank
Dime Community Bank
Dime Savings Bank
Flagstar Bank
Flushing
Four Leaf Credit Union
Hanover Bank
Island Federal Credit Union
Jovia Credit Union
M & T Bank
Ridgewood Savings Bank
Suffolk Federal Credit Union
TD Bank
Valley Bank
Wells Fargo Bank
Address of Financial Institution
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Financial Institution Contact Name
First Name
Last Name
Financial Institution Contact or General Email
example@example.com
Current Signer #1 - SU Treasurer full legal name
First Name
Last Name
Current Signer #1-SU Treasurer Email
example@example.com
Current Signer #2-Troop Co-Leader #1 full legal name
First Name
Last Name
Current Signer #2-Email
example@example.com
Current Signer #3-Troop Co-Leader #2 full legal name
First Name
Last Name
Current Signer #3-Email
example@example.com
Back
Next
Addition/Removal of Troop Leader Signers on Exisiting Account
Please complete the required fields below
Choose the account(s) to which a change of signers needs to be made. Select all that apply.
*
Checking Acccount REMOVAL of signer(s)
Checking Account ADDITION of signer(s)
Savings Account REMOVAL of signer(s)
Savings Account ADDITION of signer(s)
Checking Account #
Savings Account #
Name of Financial Institution
Please Select
Apple Bank
Bank of America
Capital One
Chase Bank
Citibank
ConnectOne Bank
Dime Community Bank
Dime Savings Bank
Flagstar Bank
Flushing
Four Leaf Credit Union
Hanover Bank
Island Federal Credit Union
Jovia Credit Union
M & T Bank
Ridgewood Savings Bank
Suffolk Federal Credit Union
TD Bank
Valley Bank
Wells Fargo Bank
Address of Financial Institution
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Financial Institution Contact Name
First Name
Last Name
Financial Institution Contact or General Email
example@example.com
Signer #1 to be REMOVED from selected account(s). List full legal name as it appears on legal documentation
First Name
Last Name
Signer #2 to be REMOVED from selected account(s). List full legal name as it appears on legal documentation
First Name
Last Name
Signer #3 to be REMOVED from selected account(s). List full legal name as it appears on legal documentation
First Name
Last Name
Signer #1 to be ADDED to selected account(s). List full legal name as it appears on legal documentation
First Name
Last Name
Signer #1 to be ADDED to selected account(s). List full legal name as it appears on legal documentation
First Name
Last Name
Signer #1 to be ADDED email address
example@example.com
Signer #1 to be ADDED phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Signer #1 to be ADDED mailing address as it appears on legal documentation
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will Signer #1 be issued a debit card?
Yes
No
Signer #2 to be ADDED to account(s). Please indicate full legal name as it appears on legal documentation
First Name
Last Name
Signer #2 to be ADDED email
example@example.com
Signer #2 to be ADDED phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Signer #2 to be ADDED mailing address as it appears on legal documentation
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will Signer #2 be issued a debit card?
Yes
No
Signer #3 to be ADDED to account(s). Please indicate full legal name as it appears on legal documentation
First Name
Last Name
Signer #3 to be ADDED email
example@example.com
Signer #3 to be ADDED phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Signer #3 to be ADDED mailing address as it appears on legal documentation
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will Signer #3 be issued a debit card?
Yes
No
Please input mailing address to which bank statements and mailings will be sent and to whose attention
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Addition/Removal of Service Unit Treasurer Signer on Exisiting Accounts
Please complete the required fields below.
Choose the account(s) to which a change of signers needs to be made. Select all that apply.
*
Checking Acccount REMOVAL of signer(s)
Checking Account ADDITION of signer(s)
Savings Account REMOVAL of signer(s)
Savings Account ADDITION of signer(s)
Please upload Troop Accounts Roster completed with information for all accounts to which the above changes must take place.
*
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Name of Financial Institution
Please Select
Apple Bank
Bank of America
Capital One
Chase Bank
Citibank
ConnectOne Bank
Dime Community Bank
Dime Savings Bank
Flagstar Bank
Flushing
Four Leaf Credit Union
Hanover Bank
Island Federal Credit Union
Jovia Credit Union
M & T Bank
Ridgewood Savings Bank
Suffolk Federal Credit Union
TD Bank
Valley Bank
Wells Fargo Bank
Address of Financial Institution
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Financial Institution Contact Name
First Name
Last Name
Financial Institution Contact or General Email
example@example.com
Service Unit Treasurer to be REMOVED from selected accounts. List full legal name as it appears on legal documentation
First Name
Last Name
Service Unit Treasurer to be ADDED mailing address as it appears on legal documentation
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Service Unit Treasurer to be ADDED email address
example@example.com
Service Unit Treasurer to be ADDED phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Will Service Unit Treasurer be issued a debit card?
Yes
No
Back
Next
FINAL STEPS
Please review information provided to ensure accuracy before submitting. Once this form is submitted, the service unit treasurer, and Mission Delivery council staff will receive a notification. Please allow 7-10 business days for a response from GSSC. Correspondence following submission of this form may include a request for more information or receipt of the requested bank letter. Please contact council at customercare@gssc.us or 631-543-6622 for assistance.
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