Get Affidavit Fraudulent Online Transaction Form

This guide provides clear instructions on completing the Affidavit Fraudulent Online Transaction Form online. Following these steps will help you effectively document unauthorized transactions on your card.

Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to access the Affidavit Fraudulent Online Transaction Form and open it in your selected editor.
2. In the 'Your Information' section, fill in your name, day phone number, membership number, address, city, state, zip code, email address, and card number accurately.
3. Proceed to the 'Card Information' section. Indicate the card type and specify whether your card was lost, stolen, not received, or in your possession. Note the date you discovered the loss and the date you reported it to the credit union. Additionally, describe in detail the circumstances surrounding the compromise of your card, including any information about how your PIN was obtained.
4. In the 'Police Report Information' section, enter the name of the police agency and the police report number. Remember, you are responsible for submitting a paper copy of the police report to the credit union.
5. List all unauthorized charges in the ‘Unauthorized Charges’ section. For each transaction, include the date, amount, and merchant name. If necessary, attach an additional sheet for extra transactions.
6. Document any credit union fees incurred due to the fraudulent activity in the designated section; similarly provide the date, amount, and merchant name for each fee.
7. In the 'Signature and affidavit of fraud' section, affirm the accuracy of your statements. Sign and date the affidavit. Understand the serious implications of providing false information.
8. Finally, complete the 'Notary' section where required. Fill in the state and county, the date of notarization, notary signature, and commission expiration date.

Complete your Affidavit Fraudulent Online Transaction Form online today to secure your financial interests.