Delaware County Bank Personal Online Enrollment
If you are a business or organization, please do not use this enrollment form. Contact your local banking center location for a business enrollment. PLEASE NOTE: Fields marked with an asterisk(*) are required.

To assist with the enrollment process, please have the following information available before you start:
-Social Security Number -E-Mail Address
-Driver's License Number -Bank Account Numbers
-Date of Birth -Mother's Maiden Name
Login Information
Please select Login-ID between 1-15 characters. It may contain all letters or a combination of letters and numbers; it is case-sensitive and cannot contain spaces. Please select a Login-ID that you can remember as you will use this Login-ID once your account is activated.

Desired Login Name *:
Customer Information
First Name *:      Middle Initial: Last Name*:
Social Security # *: Ex. XXX-XX-XXXX    
Address *:  
Address:
City *:   Zip Code *:
Home Phone*: Ex. XXX-XXX-XXXX Best time to Call:

Do not have a home phone? Please enter Cell Phone number in both the Home Phone and Cell Phone fields.

Cell Phone: Ex. XXX-XXX-XXXX
Work Phone: Ex. XXX-XXX-XXXX  
Email Address *: Email Verification *:  
Secondary Email: Secondary Email Verification:  
Security Information
Please fill out this information section for security verification.
Date of Birth *:  Ex. XX/XX/XXXX  
Driver License # :  
Issue Date :  Ex. XX/XX/XXXX  
Expiration Date :  Ex. XX/XX/XXXX  
Mother's Maiden Name *:  
 
Account Number *


For Bank Use Only:


 
Signature and Disclaimers

This document is being secured with SSL encryption provided by your browser. Your information will be encrypted when using this form while
in transit between your browser and Delaware County Bank.
*Signature: *Date: Ex. XX/XX/XXXX
  (Type your full name)   (Today’s Date)

By completing this enrollment form and submitting it I understand I am applying for the online banking service. I understand that this online banking service will be subject to the terms and conditions contained in the Webdcb Online Banking Agreement. I understand other fees may apply for using this service. I affirm that I am an account owner or authorized signer on each account and the information I have provided is true and accurate. I understand that The Delaware County Bank and Trust Company may use a third party agency to assist in verifying my identity. I understand that The Bank will retain this enrollment form and any information obtained in the identity verification process, even if I am not approved for this on-line banking service.

Thank you for your interest in Web DCB. Your application will be processed and you will receive an e-mail with login information within two business days. If you need further assistance please e-mail our Customer Care Center at InfoRequest@dcb-t.com or call 740-657-7200 during normal business hours.

                                
Copyright © 2007 The Delaware County Bank & Trust Company
webdcb is a registered trademark of The Delaware County Bank and Trust Company.
All rights reserved.
Member FDIC