Kasasa Cash Back

Open Your Account

  1. Personal Information
  2. Identity Verification
  3. Opening Deposit

Secure Form

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Confirm Information

Please confirm this information before continuing. We'll use this information to help verify your identity.

Verify

Please answer the following questions to help us verify your identity. All questions must be answered within 10 minutes.

Fund Your Account

Now you'll setup your deposit into your new account. This money will be deposited once your new account is approved.

Thank You!

We are currently verifying your application. Here's what to expect next:

    Applicant Information

      Eligibility

        To be eligible for Fairmont Federal Credit Union membership you must live, work, worship, volunteer, or go to school in Marion, Monongalia, Preston, Harrison, or Taylor counties in the state of West Virginia. You must also open and maintain a share savings account which is required for membership with a minimum balance of $5.00. Before proceeding, please confirm your eligibility below:

        OK Please confirm your eligibility.

  • Please enter the code to confirm your ability to view the required Portable Document Format (PDF) files. If the code isn't visible, click here to see code in new window or visit your nearest branch to apply for an account.

  • OK Error - Please enter the code to verify that you can view the required Portable Document Format (PDF) files. If the code isn't visible you will need to visit your nearest branch to apply for an account.

Basic Info

  • Optional OK Title is required
  • OK First Name is required
  • Optional OK Middle Name is required
  • OK Last Name is required
  • Optional OK Suffix is required
  • OK Email Address is required
  • OK Phone is required
  • OK Date of Birth is required
  • OK Social Security Number is required

Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • OK How long have you lived at this address? is required
    OK Mailing address is different (Optional) is required

Mailing Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Previous Address

  • Have you lived at this address for less than 2 years?

    OK You must select one of the following.
  • OK Previous Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • OK Length of Time at Previous Address is required

Identification

  • What form of ID would you prefer to use?

    OK What form of ID would you prefer to use? is required
  • OK License Number is required
  • OK State is required
  • OK Issued Date is required
  • OK Expiration Date is required
  • OK Passport Number is required
  • OK Expiration Date is required

Additional Information

  • OK To help protect against fraud, do you travel periodically for work or leisure? If so, about how often and what might be normal destinations for ATM/Debit transactions to take place? is required
  • OK What activity types do you expect to have on your account? (examples: bi-monthly payroll, cash from mowing loans, to pay bills, wires to family members) is required
  • OK Employer is required
  • OK Employer Address is required
  • OK Employer City is required
  • OK Employer State is required
  • OK Employer Zip Code is required

  • Are you employed by a business that cultivates, distributes, possesses or dispenses marijuana?

    OK Are you employed by a business that cultivates, distributes, possesses or dispenses marijuana? is required

  • Have you been employed with current employer for less than 2 years?

    OK Have you been employed with current employer for less than 2 years? is required
  • OK Previous Employer is required
  • OK Occupation is required
  • OK Address is required
  • OK Dates of Employment is required
  • OK Work Phone Number is required
  • OK Occupation is required
  • OK Start Date is required
  • OK Mobile Phone Number is required
  • OK Mother's Maiden Name is required

Tax Status

    OK Please select one of the following.

    • What is this?

    If you have any questions about how to complete this section please download instructions.

Joint Applicant

  • Will this be a joint account?

    OK Will this be a joint account? is required

Co-Applicant Basic Info

  • Optional OK Title is required
  • OK First Name is required
  • Optional OK Middle Name is required
  • OK Last Name is required
  • Optional OK Suffix is required
  • OK Email is required
  • OK Phone is required
  • OK Date of Birth is required
  • OK Social Security Number is required

Co-Applicant Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • OK How long have you lived at this address? is required
    Optional OK Mailing address is different is required

Co-Applicant Mailing Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Co-Applicant Previous Address

  • Have you lived at this address for less than 2 years?

    OK You must select one of the following.
  • OK Previous Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • OK Length of Time at Previous Address is required

Co-Applicant Identification

  • What form of ID would you prefer to use?

    OK What form of ID would you prefer to use? is required
  • OK License Number is required
  • OK State is required
  • OK Issued Date is required
  • OK Expiration Date is required
  • OK Passport Number is required
  • OK Expiration Date is required

Co-Applicant Additional Information

  • OK Relationship to Applicant is required
  • OK To help protect against fraud, do you travel periodically for work or leisure? If so, about how often and what might be normal destinations for ATM/Debit transactions to take place? is required
  • OK What activity types do you expect to have on your account? (examples: bi-monthly payroll, cash from mowing loans, to pay bills, wires to family members) is required
  • OK Employer is required
  • OK Employer Address is required
  • OK Employer City is required
  • OK Employer State is required
  • OK Employer Zip Code is required

  • Are you employed by a business that cultivates, distributes, possesses or dispenses marijuana?

    OK Are you employed by a business that cultivates, distributes, possesses or dispenses marijuana? is required

  • Have you been employed with current employer for less than 2 years?

    OK Have you been employed with current employer for less than 2 years? is required
  • OK Previous Employer is required
  • OK Occupation is required
  • OK Address is required
  • OK Dates of Employment is required
  • OK Work Phone Number is required
  • OK Occupation is required
  • OK Start Date is required
  • OK Mobile Phone Number is required
  • OK Mother's Maiden Name is required

Co-Applicant Tax Status

    OK Please select one of the following.

    • What is this?

    If you have any questions about how to complete this section please download instructions.

    Important Information About Procedures for Opening a New Account:

    To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

    By submitting this application, you agree to the Kasasa Digital Technology Terms of Use Agreement.