DLM/eDeposit Update Request Form

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Customer Service Representative Submitting Request

First

Last

Customer Service Representative's Email Address:

Business Name Utilizing DLM/eDeposit System

Provide the Name of the Individual Making the Request:

First

Last

Please select the information that needs to be updated:

• Add an Account
• Remove an Account
• Contact/Verification Telephone Number

Select all that apply.

Is the Request Concerning an Account Affiliated with the Business?YesNo

Provide the Account Number Requested to be Added:

Provide the Authorized User(s) Who Need Access to this Account:

When adding an account, please ensure that the account is associated with the business. Personal/individual accounts should not be added to a business' DLM. For consideration, contact an Executive Officer of the Bank.

Provide the Account Number Requested for Removal:

Provide the Updated Telephone Number:

Please provide any additional information that may aid in the response to the customer's request:

To assist with the request(s), please provide copies of any documentation/emails regarding the requests:

Click or drag files to this area to upload. You can upload up to 6 files.

Submit

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