Beneficiary - Pay on Death Account Card

Thank you for using our online system to update, add or delete beneficiaries to your account.  A separate form must be used for each account.  To complete this form you will need the account owner's  name, date of birth and social security number. Also, you will need the name, address, date of birth and social security number for each beneficiary.
If you have questions regarding this form please call 850-223-7100 and ask for the Special Services Department.  We'll be glad to assist you.  
Your application will be processed within one business day and a BCFCU Special Services Representative will contact you for instructions to complete this form after you have submitted it.