Account Information

Legal First Name * Last Name *

Address Line 1 * Address Line 2

(Street Address, No PO Box or RR) (Suite, Apartment Number, Etc)

City * State *

AlabamaAlaskaArizonaArkansasCaliforniaColoradoDistrict Of Columbia Florida GeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouri MontanaNebraskaNevadaNew JerseyNorth CarolinaNorth DakotaOhio Oklahoma OregonPennsylvaniaSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaWashingtonWest VirginiaWisconsinWyoming

  (Currently we do not accept applications if you reside in the following states: Connecticut, Delaware, New Hampshire, Vermont, New Mexico, New York, Rhode Island)

Zip/Postal Code * Date of Birth (Must be 18 or older) *

(e.g. 33701 or 33701-4313) (mm/dd/yyyy)

Home Phone Number * Mobile Phone Number

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(Your phone number will not be used for marketing purposes, we will only use the telephone number provided to call you regarding your Central Access Card.)

Email Address

Social Security Number * Confirm Social Security Number *

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IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW CARD ACCOUNT: To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens a Card Account. What this means for you: When you open a Card Account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see a copy of your driver’s license or other identifying documents. Approval of your request requires passing our identification verification process.

Verify Information

• Contact Us
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• Terms & Conditions
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• Fees & Limits

The Central Access™ MasterCard^® Prepaid Payroll Card is issued by Central Bank of Kansas City, Member FDIC, pursuant to a license by MasterCard International Incorporated. MasterCard and the MasterCard brand mark are registered trademarks of MasterCard International Incorporated. Certain fees, terms, and conditions are associated with the approval, maintenance, and use of the Card. You should consult your Cardholder Agreement and fee schedule. If you have any questions regarding the Card or such fees, terms, and conditions, you can contact us at the toll-free at 1-866-337-4997