Get Atm Disputefraud Form - Usalliance

Filling out the ATM Dispute/Fraud Form is an essential step for individuals who wish to dispute an unauthorized transaction or report a lost or stolen card. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your ATM Dispute/Fraud Form successfully.

1. Press the ‘Get Form’ button to access the ATM Dispute/Fraud Form and open it in your preferred editor.
2. Carefully print all required information clearly. Start by entering the cardholder name, phone number, card number (16-digit), and email address.
3. Indicate whether your card has been lost or stolen by checking the appropriate box. Specify the date you realized your card was missing.
4. Report the date of the loss or theft and the branch where the loss was first reported.
5. Certify that the card was in your possession during the described transactions. Confirm whether your Personal Identification Number (PIN) was accessible to an unauthorized user, and if it was written on the card or another document.
6. Provide the name, date, and address of the person to whom you gave the card, if applicable.
7. Specify whether you are reporting fraud or disputing a transaction by selecting the corresponding option.
8. For each disputed transaction, fill in the transaction date, amount requested, amount dispersed, and the name and address of the bank, credit union, or store involved.
9. In the description field, provide a detailed account of what occurred during the transaction.
10. Complete the disclosure agreement and authorization section. Ensure you submit a copy of any filed police report if applicable for fraudulent transactions.
11. Sign and date the form, verifying that all information is true to the best of your knowledge.
12. After filling out the form, you can save changes, download, print, or share the form as needed.

Complete your ATM Dispute/Fraud Form online today to ensure a timely resolution.