Stop Payment Request

Stuff happens

Sometimes you need to stop a check or an electronic debit before they process…we understand. If they’re not consecutive numbers, simply submit the form as many times as needed. You will incur a stop payment fee of $20 +tax (per item), which will be taken from your account, if you do not have the funds to cover this fee, we cannot stop any payment(s). A request is good for a one-time stop within 14 calendar days. If you need something beyond 14 days, please call us at (563) 264-7210.

This request must be received at least three (3) business days before a scheduled debit(s) or in time to give the Credit Union reasonable time to act upon it.

Please note: There is NO way to stop a debit card transaction, the form below is ONLY for checks and electronic debit payments. If you have a disputed transaction that has already cleared, do NOT use the form below as it will not work. You will have to contact us and fill out an unauthorized ACH debit form.

Full Name*
First Last
Member #*
Email Address*
Are You Stopping a Check or an ACH?
- Check
- ACH
Starting Check Number*

Reference the check number digits at the bottom of the check and not the ones in the upper-righthand corner.
Ending Check Number*

Reference the check number digits at the bottom of the check and not the ones in the upper-righthand corner.
Date Written*
MM slash DD slash YYYY
Signer
Written Out To*
The Amount*
Reason For Stopping*
Just for fun - What’s your least favorite household chore?
Comments
Last 4 Digits of your Social Security Number (SSN)*
Your checking account will be charged a fee of $20 +tax for each item you request a stop payment on; if you do not have the funds to cover this fee, we cannot stop the payment(s). By directing Members Community Credit Union to stop payment on the above transaction(s), you agree to hold the Credit Union harmless against any and all loss, claims, damages, and costs, including court costs and attorney’s fees that the Credit Union may suffer or incur by reason of non-payment of the above transaction(s) if presented prior to withdrawal of these instructions or expiration thereof. As the account holder also understands that it is necessary to provide the correct information related to the transaction(s) and that failure to do so may result in the payment of the above item(s). The account holder agrees to hold harmless and indemnify the Credit Union for all expenses, costs, and damages incurred by payment of the above item(s) if such payment is the result of failure of the account holder to meet the time requirements noted above, or if such payment is the result of failure of the account holder to furnish any item of information requested above completely, accurately and correctly. By entering your name and last four digits of your social security number in the form above, you are agreeing to sign and submit your stop payment request electronically as an authorized signer, or otherwise have authority to act, on the account identified in this statement. I attest the debit(s) above was not originated with fraudulent intent by me or any person acting in concert with me. I have read this statement in its entirety and attest that the information provided on this statement is true and correct.