Applicants may use the example below to prepare a cover letter for a credit union-sponsored consent application (NCUA FORM 3250) where the application is sponsored by an insured credit union on behalf of a covered individual. Submission of a cover letter with an application is optional.
The example includes a list of supplemental documentation that an applicant may submit with an application. Submission of the supplemental documentation is optional, though certain documentation is recommended, as indicated below.
Completed applications must be sent to the appropriate NCUA field office. Consent applications sponsored by a credit union must be filed with the NCUA Regional Office where the credit union’s home office is located, or with the Office of National Examinations and Supervision for credit unions that office supervises. Contact information for the NCUA’s Central and Regional Offices is available on the Contact Us page on the NCUA’s website. States covered by each NCUA Regional Office are also listed on the website and in 12 Code of Federal Regulations §790.2.
Sample Letter
[Appropriate NCUA Office]
[Street Address]
[City, State Zip code]
To Whom It May Concern:
Please accept the enclosed application pursuant to Section 205(d) of the Federal Credit Union Act (NCUA FORM 3250), 12 United States Code §1785(d). The application supports the request by [name of insured credit union] for [name of covered individual] to serve as [title of position proposed for individual to occupy].
Also, enclosed are the following supplemental documents:
- Job description/description of duties and responsibilities of position to be occupied (Optional but recommended).
- Character reference letters (Optional but recommended).
- Resume at least covering the period since the covered offense (Optional but recommended).
- Documentation of educational achievements (If applicable, optional but recommended).
- Documentation of successful participation in job preparation programs (If applicable, optional but recommended).
- Certificates documenting participation in substance abuse programs (If applicable, optional).
- Recent employment records/employee performance reviews (Optional).
- List of involvement in any charitable, community service, or other civic activities (Optional).
- Court documentation involving the covered offense, including documentation of conviction or pretrial diversion program and evidence of successful completion of sentencing or pretrial diversion program requirements (Optional).
Any questions or correspondence related to this application may be directed to:
[Sponsoring Credit Union’s Representative]
[Street Address]
[City, State ZIP Code]
[Email Address]
[Phone Number]