Forms & Disclosures :: Ulster Savings Bank

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Forms & Disclosures

Business Banking Forms
Amendment to Online Banking Form
Business Check Card Authorization
Disclosures
Personal Banking Forms
                      Direct Deposit Form
                     Existing ATM or VISA Check Card Amendment
                     ATM / VISA Check Card / Telephone Banking Application Form
                      Authorization for Pre-Authorized Payments Form
                      Revoke Overdraft Privilege
Tax & Payroll Forms
        Employee Authorization Agreement
        Employee's Witholding Allowance Certificate
        Employment Eligibility Verification
        Form W-4
        Payroll Change Request Form
        Payroll Quote Form
Insurance Forms
        Flexible Spending Account - Enrollment Form
        Flexible Spending Account - Benny Prepaid^TM Visa^® Card brochure
        Flexible Spending Account - Claim Form
        Flexible Spending Account - Eligible Medical Expenses
        Flexible Spending Account - Ineligible Medical Expenses
        Healthcare Reimbursement Arrangement Claim Form
        Certification of Medical Necessity - Submission Form

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FDIC

Investment, Tax, Payroll and Insurance products and services offered through Ulster Insurance Services, Inc.
and Ulster Financial Group, Inc., subsidiaries of Ulster Savings Bank, are NOT FDIC INSURED.