Unclaimed Capital Credit Request

MVEC complies with the Federal Trade Commission’s Red Flag rule, which helps detect, prevent and mitigate damage caused by identity theft. MVEC reserves the right to ask questions to help validate the identity of an account holder when changes to an account are requested by phone or in person.

MVEC will contact you once this form has been received and reviewed. If you have questions please contact our Capital Credit Department at: 800-282-6832 or 952-492-2313 capitalcredits@mvec.net.

All requests must be submitted to MVEC by January 31, 2024.

MVEC Member Information

First Name

Last Name

Phone

Birth Date

MVEC Account Number (if known)

Last four numbers of member's Social Security Number

Requestor Information (if different from MVEC member information)

First Name

Last Name

Phone

Service Address (MVEC member's address while earning capital credits)

Street Address

City

State Abbreviation

Zip Code

Current Address (if different than Service Address)

Street Address

City

State Abbreviation

Zip Code

Acknowledgements

THE UNDERSIGNED PERSON HEREBY STATES THAT THE COOPERATIVE PAY THE CAPITAL CREDITS OF SUCH MEMBER TO THE UNDERSIGNED, WHO IS ENTITLED TO SUCH CAPITAL CREDITS AND IS RELATED TO SUCH MEMBER AS FOLLOWS:

SelfRepresentative (POA, Court Appointed, Surviving Spouse, etc) (Include court documents and copy of death certificate if applicable)Other

If other please explain:

THE UNDERSIGNED REQUESTS THAT THE CAPITAL CREDITS BE PAID TO THE UNDERSIGNED EVEN THOUGH SUCH PAYMENT MAY OR MAY NOT BE SPECIFICALLY AUTHORIZED BY STATUTE, AGREES TO DISTRIBUTE THE CAPITAL CREDIT TO THE PERSON(S) WHO ARE ENTITLED TO RECEIVE SUCH CAPITAL CREDITS AND AGREES TO INDEMNIFY THE COOPERATIVE IF ANY CLAIM IS MADE BY ANY PERSON(S) HAVING A SUPERIOR RIGHT TO THE CAPITAL CREDITS.

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