ACH Origination Request

By submitting an ACH Origination, I hereby authorize Jordan Credit Union to initiate transactions on my/our account indicated below and the financial institution named below. I/We acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. Law.

Member Information

Account Information (Withdraw)

Please complete the information below for the account the fund will be drawn from.

Account Information (Deposit)

Please complete the information below for the account the fund will be deposited into.
Transactions cannot start 5 business days prior to receipt of form.

Terms and Conditions:

Please complete the information above. Your ACH Origination Request will be reviewed. After review, this form will be returned to you to sign via email. You will be asked to complete verification questions for your security. If you have questions regarding this form or your account, please contact us during business hours at (801) 566-4195.

Questions? Contact a representative.
Branch Contact Info