Complete this form to initiate an SCRA request.

We use the information you provide to determine SCRA eligibility on loans you have at Vantage West. After your request has been processed, we will send a letter to the address associated with your account detailing your benefits. Please allow up to 15 days for receipt of this letter. This form is not required and is only provided as a convenience.

MEMBER INFORMATION

Name *

Member Number 🛈

Phone Number *

Email Address

Do you have a Power of Attorney (POA)? *

Yes

Please provide the POA's information. Note that the POA documents will neeed to be uploaded below.

POA's Name 🛈

POA's Phone Number *

Request Summary * 🛈

MILITARY SERVICE INFORMATION

Military Branch *

Original Date of Military Service +

Active Duty Date +

UPLOAD DOCUMENTS

Military Orders *

Power of Attorney * 🛈

CONFIRM AND SUBMIT

I acknowledge and agree to retain full coverage insurance. *

Agree

I have uploaded a copy of the military orders. *

Agree

Signature *

clear

* = required field

You can also submit a written request to Vantage West Credit Union. Please include a copy of the servicemember’s military orders.

Mail
P.O. Box 15115
Tucson, AZ 85708

Fax
(520) 917-2433

Questions?

Call (855) 751-7003.