Get 4128forgery Affidavit Claim1.qx (page 1) - Kinecta Federal Credit ... - Kinecta

This guide provides clear and supportive instructions for completing the 4128Forgery Affidavit Claim form for Kinecta Federal Credit Union. Following these steps will help you accurately fill out the form and ensure a prompt resolution of your claim.

Follow the steps to complete your affidavit claim accurately.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Enter your complete name as it appears on your account in the 'Member's Name' field.
3. Input your Kinecta membership number in the corresponding section.
4. Fill in your complete address, including any apartment or suite number in the 'Address/City/State/ZIP' field.
5. Provide a daytime phone number where you can be reached during regular business hours.
6. If applicable, include your evening phone number.
7. In the 'Check or Draft #' section, indicate if the item involved is a check or draft. If so, enter the check number.
8. Select whether the claim involves a deposit or withdrawal by placing an ‘X’ in the appropriate box.
9. Enter the financial institution that processed the item under 'Drawn On'.
10. Specify the date that appears on the item in the 'Date of Item' field.
11. Fill in the name of the individual or company that issued the item under 'Drawn By'.
12. List the dollar amount of the item, using the altered amount if applicable.
13. Complete the 'Payable To' section with the appropriate information.
14. Input the date the item was paid or negotiated in the 'Date Paid' field.
15. Enter the name of the person or entity that endorsed the item in the 'Endorsed By' section. If not applicable, write 'N/A'.
16. Identify the financial institution and branch where the item was paid under 'Paid By'.
17. Read the declaration carefully and initial next to all options that apply to your claim.
18. Initial the statements indicating you did not receive any benefit from the proceeds of the item.
19. Complete the section about the forgery if you have a suspect's information to provide.
20. Sign the declaration and ensure your signature is notarized; this is required for processing.
21. If there are multiple forged items, complete the Addendum to Forgery Affidavit Claim for additional details on those items.
22. Once all fields are completed, review the form for accuracy, save changes, and prepare to submit it.

Complete your affidavit claim online today and ensure the protection of your account.