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Written Statement of Unauthorized Debits:
This is a two-page form used when you have an unauthorized ACH debit that has come out of your
account, and you would like to attempt to get your funds back.
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How to fill out written statement of unauthorized

How to fill out a written statement of unauthorized:
01
Start by providing your personal information, including your name, address, and contact details. This information will help verify your identity and establish your credibility as the person filing the statement.
02
Clearly state the reason for filing the written statement of unauthorized. Whether it's unauthorized charges on your credit card, fraudulent activity on your bank account, or any other unauthorized action, provide a concise and specific explanation.
03
Include any supporting evidence or documentation that you have regarding the unauthorized activity. This can be receipts, bank statements, credit card statements, or any other relevant documents that prove your claim.
04
Be as detailed as possible when describing the unauthorized activity. Include dates, amounts, and any other pertinent information to help the recipient understand the situation clearly.
05
Sign and date the written statement of unauthorized. By doing so, you confirm that all the information provided is accurate to the best of your knowledge.
Who needs a written statement of unauthorized?
01
Individuals who have experienced unauthorized charges on their credit cards or bank accounts may need to file a written statement to report the fraudulent activity.
02
Consumers who have noticed unauthorized access to their personal information or accounts, such as identity theft, should also consider filing a written statement of unauthorized to document the incident.
03
Businesses or organizations that have evidence of unauthorized actions by an employee, client, or third party may also need to prepare a written statement to report the unauthorized activity and protect their interests.
By following these steps and understanding who may need a written statement of unauthorized, individuals and businesses can effectively address any unauthorized activity and take the necessary steps towards resolution.
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What is written statement of unauthorized?
Written statement of unauthorized is a form used to report any unauthorized activity on a person's account.
Who is required to file written statement of unauthorized?
Any individual or entity who notices unauthorized activity on their account is required to file a written statement of unauthorized.
How to fill out written statement of unauthorized?
To fill out a written statement of unauthorized, one must provide details of the unauthorized activity, account information, and any supporting documentation.
What is the purpose of written statement of unauthorized?
The purpose of written statement of unauthorized is to notify the financial institution about unauthorized activity on an account and to request an investigation.
What information must be reported on written statement of unauthorized?
The information reported on written statement of unauthorized includes details of unauthorized transactions, account holder information, account number, and any evidence supporting the claim.
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