NCUA CHARTERING AND FIELD OF MEMBERSHIP FORMS
Users can electronically fill in, save, and change their replies
on the below versions of the following NCUA Chartering and Field of Membership
Forms. All of these forms are in Microsoft Word.
NCUA 4000 - Conversion of State
Charter to a Federal Charter – Federal
Credit Union Investigation Report .
NCUA 4001 - Federal Credit
Union Investigation Report.
NCUA 4008 - Organization Certificate.
NCUA 4009 - Approval of Organization
Certificate and Certification of Insurance.
NCUA 4012 - Report of Official
and Agreement to Serve.
NCUA 4015 - Application
for Field of Membership Amendment.
NCUA 4015-EZ - Application
for Field of Membership Amendment (use for all single common bond expansions
and multiple common bond expansions of less than 3,000).
NCUA 4221 - Notice of Meeting
of Members to Convert from a Federal to State Chartered Credit Union.
NCUA 4401 - Application
to Convert from a State to a Federal Credit Union.
NCUA 4505 - Affidavit -
Proof of Results of Membership Vote - Proposed Conversion From Federal
Credit Union to State Credit Union.
NCUA 4506 - Federal to
State Conversion - Ballot for Conversion Proposal.
NCUA 9500 - Application and
Agreements for Insurance of Accounts.
NCUA 9501- Certification
of Resolutions.
NCUA 9600 - Information to
be Provided in Support of the Application of a State Chartered Credit Union
for Insurance of Accounts.