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Flexible Spending Account mySourceCard Debit Card Substantiation Request Form Employer Name: SSN: Employee Name: Phone: Employee Address: Email Address: Please check if this is a new address Please
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How to fill out debit card substantiation request

How to fill out a debit card substantiation request:
01
Gather all necessary information: Before filling out the request form, make sure you have all the relevant details handy. This may include your debit card information, transaction dates, merchant names, and any supporting documentation.
02
Download or obtain the request form: Visit your bank's website or reach out to them to obtain the debit card substantiation request form. You can usually find this form in the "Forms" or "Support" section of their website.
03
Fill out your personal information: Start by providing your personal details such as your name, address, contact number, and any other information required as per the form.
04
Provide debit card details: Enter your debit card number, expiration date, and the name on the card. This information is crucial to identify the specific account for which you are requesting substantiation.
05
Specify the transactions: Indicate the transaction dates, amounts, and the merchant names for which you require substantiation. Be as accurate and specific as possible to avoid any confusion.
06
Attach supporting documentation: If you have any supporting documentation such as receipts, statements, or invoices relating to the transactions in question, make sure to attach them along with the request form. This can help expedite the substantiation process.
07
Review and submit the request: Once you have filled out the form and attached all necessary documents, carefully review all the information provided to ensure accuracy. Double-check for any errors or missing information. Once you are satisfied, submit the request form as per the instructions provided by your bank.
Who needs a debit card substantiation request?
A debit card substantiation request is typically needed by individuals who want to validate or verify certain transactions made using their debit cards. This request is commonly used when there is a dispute over a charge, a need for expense reimbursement, or when further documentation is required for accounting or tax purposes.
It is important to note that the specific requirements for needing a debit card substantiation request may vary depending on the policies of the bank or financial institution issuing the card. It is advisable to contact your bank directly to determine if a substantiation request is necessary and to understand their specific process for handling such requests.
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What is debit card substantiation request?
A debit card substantiation request is a form used to verify purchases made with a debit card in order to prevent fraudulent activity.
Who is required to file debit card substantiation request?
Cardholders are typically required to file a debit card substantiation request when requested by their bank or financial institution.
How to fill out debit card substantiation request?
Cardholders can fill out a debit card substantiation request by providing details of the disputed transactions, including date, amount, and merchant information.
What is the purpose of debit card substantiation request?
The purpose of a debit card substantiation request is to ensure that all transactions made with the card are legitimate and authorized by the cardholder.
What information must be reported on debit card substantiation request?
The information reported on a debit card substantiation request typically includes the date of the transaction, amount, merchant name, and any other relevant details.
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