Carver Federal Savings Bank

Before You Apply:

I authorize, the Bank to obtain a report or account information from credit or information services agencies to help verify my identity and facilitate the processing of this application. I understand I may be asked questions based on the information obtained from external agencies to validate my identity as part of this process.

If your information does not meet certain qualifications, you will not be able to be proceed with your application at this time.

Online Account Opening Application

Before you begin your application

You'll need to provide some basic information:

We are currently only accepting application submissions from residents of New York and New Jersey.
Full name, Social Security number and date of birth of all account holders
Phone number and email address
U.S. physical and mailing address
Debit card or account information for funding your new account
School information (if you’re a student)

Important Information About Procedures For Opening A New Account

To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.

Instructions:

Complete Application and click “Submit Application”
You will be required to supply Carver Federal Savings Bank with a copy of two forms of identification within 15 days of account opening. Failure to supply this copy may lead to closure of your new account. If more than one person opens an account, each of you must complete and sign Carver’s signature card. Also, you must complete or provide any other documentation we may require.
For business accounts, you will be required to provide business documentation and business tax identification number. In addition, two forms of Identification for all authorized signers and all signers will need to be present to sign and complete signature cards.
If you are unable to bring your documentation into one of our ten branches; you will need to complete and mail the documentation to the address listed: Carver Federal Savings Bank, Attn: Customer Experience Specialist, 75 West 125th Street, New York, NY 10027

Non-notarized documentation will not be accepted.

Select the branch where you will complete the enrollment process (Select One):

Manhattan

125th Street Branch

75 West 125th Street
at Lenox Avenue
New York, NY 10027
Open Monday–Friday 8:30 a.m. –5:30 p.m.,
Saturday 9:00 a.m. – 1:00 p.m.

Pathmark 125th Street Branch

(Inside Pathmark Supermarket)
160 East 125th Street
at Lexington Avenue
New York, NY 10035
Open Monday–Wednesday 10:00 a.m. –7:00 p.m.,
Thursday–Friday 10:00 a.m. –8:00 p.m.
Saturday 10:00a.m. –4:00 p.m.,
Sunday 10:00 a.m.– 2:00 p.m.

Bradhurst Branch

(Inside Pathmark Supermarket)
300 West 145th Street
at Frederick Douglass Boulevard
New York, NY 10039
Open Monday–Friday 10:00 a.m. –7:00 p.m.,
Saturday 10:00 a.m. –3:00p.m.

Malcolm X Boulevard Branch

142 Malcolm X Boulevard
at West 117th Street
New York, NY 10026
Open Monday–Friday 8:30 a.m.– 5:30 p.m.,
Saturday 9:00 a.m. –2:00 p.m.

Brooklyn

Atlantic Terminal Branch

4 Hanson Place
at St. Felix Street
Brooklyn, NY 11217
Open Monday–Friday 8:30 a.m. –5:30 p.m.,
Saturday 10:00 a.m. –2:00 p.m.

Bedford-Stuyvesant - Restoration Plaza Branch

1392 Fulton Street
at Restoration Plaza
Brooklyn, NY 11216
Open Monday–Friday 8:30 a.m. – 5:30 p.m.,
Saturday 9:00 a.m.–2:00 p.m.

Crown Heights Branch

1009 Nostrand Avenue
at Empire Boulevard
Brooklyn, NY 11225
Open Monday–Friday 8:30 a.m.–5:30 p.m.,
Saturday 9:00 a.m. –1:00 p.m.

Flatbush Branch

833 Flatbush Avenue
at Linden Boulevard
Brooklyn, NY 11226
Open Monday–Friday 8:30 a.m.–5:30 p.m.,
Saturday 9:00 a.m. –1:00 p.m.

Queens

Jamaica Center Branch

158-45 Archer Avenue
at 160th Street
Jamaica, NY 11433
Open Monday–Friday 8:30 a.m.–5:30 p.m.,
Saturday 10:00 a.m. –2:00 p.m.

St Albans Branch

115-02 Merrick Boulevard
at 115th Street
Jamaica, NY 11434

Open Monday–Friday 8:30 a.m.–5:30 p.m.,
Saturday 9:00 a.m. – 1:00 p.m.

I will provide my completed and notarized documentation via mail.

For Online Support, please call (718) 230-2900.

TWO (2) PIECES OF ID- ONE OF WHICH MUST CONTAIN A PHOTO

(ANY TWO FROM COLUMN 1, OR ONE FROM EACH COLUMN)

COLUMN 1

U.S. Driver's License (Photo)
OR
NYC Non-Driver's ID (Photo)
NYC Learner's Permit (Photo)
Passport
Gun Permit
Employee ID (From well known company, along with computer printed pay stub within 30 days)
Alien Registration Card (Current Date)
NYS Benefits ID Card (Photo)

COLUMN 2

Current Pay Stub
Mortgage Statement
Checking Account Statement (With canceled checks within 30 days)
Major Credit Card (No store or gas cards)
Credit Card Bill (within 30 days)

NOTE: Your US Driver's License, NYC Learner's Permit or NYC Non-Driver's ID does not count as two forms of ID. Your home and/or place of employment phone number(s) are required to open an account.

Select number of applicants
If you add a co-applicant, the accounts you apply for today will be joint ownership accounts.

Primary Consumer Applicant Information	Applicant #2 Click to Show/Hide Applicant #2 Information
Check if you a current customer.
**To open a business account, please scroll down to the business section.
Customer Legal Name:	Customer Legal Name:
Social Security Number: (xxx-xx-xxxx)	Social Security Number:
Date of Birth: (mm/dd/yyyy)	Date of Birth:
Mother's Maiden Name:	Mother's Maiden Name:
Street Address:	Street Address:
Apartment Number:	Apartment Number:
City:	City:
State:	State:
Zip Code:	Zip Code:

Check if you have lived at the address above for more than two years.	Check if you have lived at the address above for more than two years.
Check if you have a mailing address different than your residence.	Check if you have a mailing address different than your residence.

Mailing Address Street:	Mailing Address Street:
Mailing Address Apartment Number:	Mailing Address Apartment Number:
Mailing Address City:	Mailing Address City:
Mailing Address State:	Mailing Address State:
Mailing Address Zip Code:	Mailing Address Zip Code:

**Mobile Phone:	**Mobile Phone:
**Home Phone:	**Home Phone:
**By entering your phone number and submitting this application, you consent to being contacted at the telephone number provided. You agree that Carver Federal Savings Bank may use automatic telephone dialing systems and prerecorded voice messaging in connection with calls or texts made to any telephone number you provide even if the telephone number is a cellular/mobile telephone number for which the called party is charged. You also agree that Carver Federal Savings Bank may monitor and/or record telephone calls to assure the quality of our service.
FAX Number:	FAX Number:
Email Address:	Email Address:

Are you a student enrolled in high school, college, university or a vocational program?	Are you a student enrolled in high school, college, university or a vocational program?
School Type:	School Type:
School Location:	School Location:
School Name:	School Name:
Year in College:	Year in College:
Expected Graduation Date: (mm/dd/yyyy)	Expected Graduation Date:

Occupation:	Occupation:
Employer Name and Address:	Employer Name and Address:
Employer Telephone:	Employer Telephone:

Primary Applicant Information	Applicant #2 Click to Show/Hide Applicant #2 Information
Primary Identification Type:	Primary Identification Type:
Primary Identification Number:	Primary Identification Number:
Primary Identification Expiration Date: (mm/dd/yyyy)	Primary Identification Expiration Date: (mm/dd/yyyy)
Check your citizenship status:	Check your citizenship status:
U.S. Citizen	U.S. Citizen
Resident Alien	Resident Alien
Non Resident Alien	Non Resident Alien
*Non Resident Aliens* will need to call or visit a branch office in person.

Account Titling Information (check one)

Individual
Joint
Business

Beneficiary Information - Click to Show/Hide Beneficiary Information

Beneficiary Name:

Beneficiary Address:

Beneficiary DOB:

Beneficiary SSN:

Beneficiary Relation:

Custodial Information - Click to Show/Hide Custodial Information

Custodial Name:

Custodial Address:

Custodial DOB:

Custodial SSN:

Custodial Relation:

I/We would like to apply for the following account(s):

Checking Accounts
Carver Cash Access Checking
Carver Smart Checking
Carver Growth Checking

Money Market Accounts
Money Market
Premier Money Market

Consumer Savings Accounts
Carver Savings
Relationship Savings
Youth Savings
Holiday Club

Promo Code:

Business Account Information

Check if you are a current customer.
Signer's Legal Name:

Physical Business Street Address:

Suite:

City:

State:

Zip Code:

Business Phone:

Fax Number:

Business Account Signers Information	Additional Signer #2 Click to Show/Hide Signer #2 Information	Additional Signer #3 Click to Show/Hide Signer #3 Information
% of Business Ownership, if less than 100% additional signers are required.	% of Business Ownership, if less than 100% additional signers are required.	% of Business Ownership, if less than 100% additional signers are required.
Signer's Legal Name:	Signers Legal Name:	Signer's Legal Name:
Social Security Number:	Social Security Number:	Social Security Number:
Date of Birth:	Date of Birth:	Date of Birth:
Mother's Maiden Name:	Mother's Maiden Name:	Mother's Maiden Name:
Street Address:	Street Address:	Street Address:
Apartment Number:	Apartment Number:	Apartment Number:
City:	City:	City:
State:	State:	State:
Zip Code:	Zip Code:	Zip Code:

I/We would like to apply for the following business account(s):

Business Checking Accounts
Carver Cash Access Business
Carver Smart Business
Business Premier Money Market

Promo Code:

Business Tax ID Number:

Money Service Businesses:
Does your business sell money transfers, monetary instruments, or prepaid cards?
If yes, is your business an agent for licensed Money Service Business?
Do you ever cash checks totaling more than $1,000 for any one person in one day?

If yes, to any of the above questions, please call (718) 230-2900 and speak with a Carver Representative.

Account Features and Options

Add a Debit Card (No Card Issuance Fee)
Enroll Account(s) into Online Banking
Enroll a consumer account in Direct Deposit (please print and submit)

Statement Preferences
Get your statements on paper via US mail, or avoid statement delivery fees and enroll in eStatements. You must use Online Banking to view eStatements online.

eStatements (No statement delivery fee)
Paper Statements via U.S. Mail ($3.00 per month)
Paper Statements with check images ($3.00 per month)

Choose a Funding Source

*Minimum balance required for opening deposit

Use a check from any bank. US Currency Only.

ABA Routing Number: Account Number: Check Number:

Opening Deposit - Account #1 $
Opening Deposit - Account #2 $ (if applicable)

Taxpayer Identification Number Certification

Under penalty of perjury, I certify that [Check all that apply]:

Taxpayer Identification Number The number shown above is my correct taxpayer identification number (or I am waiting for a number to be issued to me).

Backup Withholding I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding. Do not check this box if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.

U.S. Person I am a U.S. citizen or other U.S. person (including a U.S. resident alien).

I certify under penalties of perjury that the statements checked in this section are true.

Consent to eCommunications Disclosure

View eCommunications Disclosure in PDF Format

Before continuing with your application, you must review and consent to the disclosure below. By checking the box below, you:

1. Consent to the eCommunications Disclosure;

2. Agree to receive Electronic Communications from Carver Federal Savings Bank;

3. Confirm that the computer(s) you are using and will later use for Electronic Communications meets the System Requirements. (Some disclosure agreements will appear in secondary windows. To review them, please temporarily disable any pop-up blocking software you may be using.)

4. By applying for your account online and clicking "Submit Application" button below, you agree that you agreed to receive all types of communication from the Bank (including eStatements, if selected above) electronically, and have the ability to do so, as more fully explained in the eCommunications Disclosure. To view the eCommunciations Disclosure, click the link View eCommunications Disclosure in PDF Format.

I (each person jointly and severally) certify that all information provided is true and correct. I agree to the terms and conditions for any accounts or services that I have now or in the future to confirm such information, and as they change from time to time. I agree at any time you may request credit record information from credit reporting agencies about my credit or accounts, and to receive and provide credit or account information about you. You also authorize any person that we contact to furnish us with any information that we request. You agree that such information will remain our property whether or not an account is opened for you.

Date of Application: