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P.O. Box 2270 Germantown, MD 208752270 WRITTEN STATEMENT OF UNAUTHORIZED DEBIT For Consumer ACH Debits Only 1. ACCOUNT/TRANSACTION INFORMATION Name Account Number Company Debiting the Account Amount

How to fill out written statement of unauthorized

How to fill out a written statement of unauthorized:

1. Start by including your contact information: Begin the document by providing your full name, address, phone number, and email address. This will ensure that the relevant parties can easily contact you if they have any questions or need additional information.
2. State the purpose of the statement: Clearly explain the reason for the written statement of unauthorized. Whether it is regarding an unauthorized transaction on your bank account, credit card misuse, or any other form of unauthorized activity, succinctly describe the situation you are addressing.
3. Provide detailed information about the unauthorized incident: Write a comprehensive and chronological account of what happened. Include all relevant details such as dates, times, locations, individuals involved (if known), and any supporting evidence or documentation you may have. The more specific you are, the better it will be for the receiving party to understand the situation.
4. Describe the impact of the unauthorized incident: Explain the consequences or harm caused by the unauthorized activity. This could include financial losses, emotional distress, or any other negative effects resulting from the unauthorized incident. Be honest and transparent about the extent of the impact on you or your organization.
5. Attach supporting evidence: If you have any supporting evidence, such as bank statements, receipts, emails, or any other relevant documents, make sure to attach them with the written statement. This will strengthen your case and provide solid evidence for further investigation or action.
6. Sign and date the statement: Once you have completed the written statement, be sure to sign and date it. This confirms that the information provided is true and accurate to the best of your knowledge. This document may be legally binding, so make sure you are confident in its content before signing.

Who needs a written statement of unauthorized?

1. Individuals who have experienced unauthorized transactions on their bank accounts or credit cards.
2. Organizations that have discovered unauthorized access or breach of confidential information.
3. Victims of identity theft or fraud.
4. Anyone who wants to report an unauthorized incident to the relevant authorities or institutions for investigation and action.

Remember, always consult with legal professionals or experts in the specific area of unauthorized activity to ensure you are following the appropriate steps and procedures for your particular situation.

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What is written statement of unauthorized?

The written statement of unauthorized is a document used to report any unauthorized charges or transactions on a payment card.

Who is required to file written statement of unauthorized?

The cardholder is required to file a written statement of unauthorized if they notice any unauthorized charges on their payment card.

How to fill out written statement of unauthorized?

To fill out a written statement of unauthorized, the cardholder should provide details of the unauthorized charges, their contact information, and any supporting documentation.

What is the purpose of written statement of unauthorized?

The purpose of the written statement of unauthorized is to alert the card issuer of any unauthorized activity on the card and to request a refund for the unauthorized charges.

What information must be reported on written statement of unauthorized?

The written statement of unauthorized should include details such as the date of the unauthorized charges, the amount charged, and any other relevant information about the transaction.