Who is eligible?

Any person in public safety employee, present or retired, in northern Essex county and their immediate families. Immediate family includes spouse, children, parents, siblings, grandparents, grandchildren, and in-laws.

Haverhill Fire Department Credit Union Membership Application

Single Application*

Joint Application*

Which account would you like to open?

Primary Account Holder

First Name*

Middle Initial

Last Name*

Date of Birth*

Social Security No.*

Driver's License No.*

Driver's License State*

Address*

Address 2

City*

State*

Zip Code*

Phone (Best contact phone #)*

Email*

Employment Information

Current Employer*

Position*

Employee Start Date*

Beneficiary

Full Name*

Present Address*

Address 2

City*

State*

Zip Code*

Social Security Number

Co-Applicant

First Name

Middle Initial

Last Name

Date of Birth

Social Security No.

Driver's License No.

Driver's License State

Address

Address 2

City

State

Zip Code

Phone (Best contact phone #)

Employment Information

Current Employer

Position

Employee Start Date

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Haverhill Fire Department Credit Union Membership Application

Primary Account Holder

Employment Information

Beneficiary

Co-Applicant

Employment Information

Contact Us

Our Address

Office Hours