Financial institutions, at their discretion, extend overdraft services to consumers as a courtesy to cover check, debit card or ATM transactions at critical times. In return, consumers are charged an overdraft fee for this service. INTRUST provides this
discretionary service through INTRUST Bounce Blocker® and is required to seek your consent to pay any one-time debit card or ATM transaction that will overdraw your account, for which there is a fee.
To receive this level
of overdraft service, your consent (opt-in) is needed and can be submitted through this form. We’d like you to make an informed decision, so please review What You Need to Know about Overdrafts and Overdraft Fees on the next page before consenting
(opting in) below to having us pay such transactions at our discretion. If we do not receive your consent, your debit card will likely be declined if the debit or ATM transaction will overdraw your account. Depending on your personal situation, having
those transactions paid may be an important service to you.
This form can also be used if you later choose to revoke your consent (opt out) of having us pay such transactions at our discretion.