208 W. Jefferson St.,  Boise, Id. 83702
Phone: (208) 275-0069  •  Fax: (208) 275-0032
Secure Home Banking Sign Up Form
You must currently be a Health Care Idaho CU member to complete this form!
The information requested below is for the primary member on the account.
All Fields Are Required
Your Member Acct. Number:
Your Email Address:
First Name:
Middle Name or Initial:
Last Name:
Street Address:
City:
State:
 Zip:
Home Phone #:
Cell Phone #:
Work Phone #: Ext :
Last 4 of Social Security #:
Birthdate (MM/DD/YY):
I have read and agreed to the Online Banking Disclosure