eStatements Signup

This form is for business eStatements only.To sign up for personal eStatements, you must first have an Online Banking account, then sign up within Online Banking.

Please complete the following form to sign-up for business eStatements and to receive your required disclosure information online. You must already have a business checking account at First Mid Bank & Trust in order to sign up. Listing multiple accounts may result in a combined statement. If you have questions, please email us at SmallBusinessSupport@firstmid.com or contact a representative at the nearest First Mid Bank & Trust location.

* Required field

Business Name*

First Name*

Last Name*

Email*

Confirm Email*

Phone Number*

Account(s)

Enter the last four digits of each account number you wish to sign up for eStatements.

Account Number (1)* Last four digits

Account Number (2) Last four digits

Account Number (3) Last four digits

Account Number (4) Last four digits

Account Number (5) Last four digits

Account Number (6) Last four digits

Acknowledgement:

Terms of Use

Acceptance of terms of use and amendments
Each Please read our eStatement Agreement * The following provisions constitute an amendment to the deposit agreement of First Mid Bank & Trust (BANK) concerning electronic delivery of statements and notices, maintained by any individual, corporation, partnership, association, or other legal entity (YOU/YOUR).

Election And Authorization For Electronic Delivery
If you sign up for eStatements, you will no longer receive a paper copy by mail and any notices associated with the account will also be sent electronically. If there is more than one owner/authorized signer that is party to the account, notices and statements to any one owner/authorized signer will be effective for all.
Prompt Review Of Estatements
YOU must promptly review YOUR eStatement and any accompanying items and notify BANK (within the applicable time periods as specified in YOUR deposit agreement) of any error, unauthorized signature, lack of signature, alteration, or any other irregularity. Any applicable time periods within which YOU must notify BANK of any errors on YOUR account statement(s) shall begin on the date the BANK makes available to YOU the statement(s) and accompanying item(s) online. Further, YOU agree to notify BANK immediately if YOU are unable to access any of the information that has been delivered by the BANK to YOU in electronic format.
Consent
YOUR enrollment electronically on the First Mid online banking system confirms YOUR ability to access information in the electronic form.
Termination Of Agreement
In order for YOU to withdraw YOUR consent and terminate this agreement for eStatements, disclosures, etc. that YOU must notify the BANK in writing, and give us 30-day notice. YOU understand that YOU may request a paper copy of any statement, notice or disclosure by contacting BANK. In some cases, research fees may apply, see the BANK current fee schedules for details.
eStatement Acknowledgment *
Enter YOUR full name below to electronically sign the eStatement agreement.

Terms*

I have read and understand the E-Statement Agreement.

Entry of your name and date below will serve as your electronic signature.

Name (Signature)*

Date*

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