Download the Savings Secured Reaffirmation of Deposit Agreement Form

If you are unable to go into a Regions branch location and are trying to regain access to your Savings Secured Line of Credit please choose one of the options below and follow the necessary procedures:

Reaffirmation of Deposit Agreement Form

The Reaffirmation of Deposit Agreement Form (PDF)1 must contain all necessary signatures, be notarized and include a copy of each Savings Account owner's driver's licenses. This form is only for situations where the collateral securing the line of credit has been removed. The form should only be completed by the owners of the collateral savings account. For questions you may call us at 1-800-231-7493 and speak with a bank representative.

Print, complete, sign and notarize the form to Regions Account Management via:

  • FAX: 205-261-0673


  • Scan: CLAM@regions.com


  • Mail to:
    Regions Bank
    Consumer Lending Account Management
    RCN-5 ALBH40502B
    2050 Parkway Office Circle
    Birmingham, AL 35244


1. Requires Adobe Acrobat Reader – download it here for free