Overdraft Allowance Authorization Form

Please note: FCB Banks authorizes overdraft items at our discretion. This means, we cannot guarantee the authorization and payment of any type of transaction. Learn more by reading our overdraft disclosure form.

Customer Name

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SSN

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Phone Number

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Address

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City

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State

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Zip Code

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Email

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Mother’s Maiden Name

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List of the FCB accounts that you would like covered by Overdraft Allowance:
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Account Number

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Account Number

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Account Number

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Account Number

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In check marking the following box and submitting this application I request and authorize FCB Banks pay overdrafts including checks, automatic bill payments, ACH debits, and recurring debit card transactions up to my preauthorized amount for the account number(s) listed above. I understand that normal overdraft charges to each item paid and continued negative balance charges still apply. I also acknowledge that I have read and agree to all terms and conditions as described in the Overdraft Allowance Disclosure and any Deposit Account Agreements that have been given to me.
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I consent and agree to the disclaimer I consent and agree to the disclaimer
- I consent and agree to the disclaimer
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