Applicants may use the example below to prepare a cover letter for an individual consent application (NCUA FORM 3250) where the application is being filed on the covered individual’s own behalf and not sponsored by an insured credit union. 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 filed by an individual must be filed with the NCUA Regional Office where the person lives. 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 requests the NCUA Board’s consent to allow me to participate, directly or indirectly, in the conduct of the affairs of any insured credit union.
Also, enclosed are the following supplemental documents:
- Offer of employment from insured credit union (If applicable, optional but recommended).
- Character reference letters (Optional but recommended).
- Resume at least covering 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:
[Name of Applicant or Applicant’s Representative]
[Street Address]
[City, State ZIP Code]
[Email Address]
[Phone Number]