Get Fraud Statement Of Claimant Form Check Fraud Claims

Filing a Fraud Statement of Claimant Form for check fraud claims is an important step to protect yourself from financial loss. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form successfully

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by entering your personal details in the Claimant’s Name, Account Number, Date, and Address fields. Ensure all information is accurate and up-to-date.
3. In the declaration section, confirm the details regarding the forgery. Check the box for 'Signature Forged' or 'Endorsement Forged' based on your situation, and provide the description of the fraudulent item(s) below.
4. For each fraudulent item, complete the fields for Check #, Check Date, Amount, and Payable to (Payee). If there are more than three items, describe additional items in a separate section.
5. Read through the additional declarations carefully, ensuring you understand each item, and affirm your non-involvement with the misuse of the fraudulent instrument(s).
6. Select your role in relation to the fraudulent check from the Claimants Role options: Drawer/Maker, Payee/Endorser, or Other.
7. Sign and date the form, providing a daytime phone number for contact purposes.
8. If notary verification is required, complete the notary section including the date and signature from the notary public.
9. In the Letter of Circumstance section, provide a detailed description of the fraudulent activity surrounding the incident.
10. Indicate whether you suspect any individuals of misusing the checks and provide their contact information if applicable.
11. Finally, ensure to answer the questions regarding prosecution willingness and whether you have filed a police report. Include relevant details accordingly.
12. Once you have filled out all sections of the form, save your changes, download or print a copy, or share the form as necessary.

Complete your Fraud Statement of Claimant Form online today to protect your interests.