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Written Statement of Unauthorized ACH Debit/Improper ACH Debit Activity Initials: Ext: Member Name Member Number I, depose and say that I have examined the attached statement or other notification

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How to fill out affidavit of unauthorized ach

01

Step 1: Obtain an affidavit of unauthorized ACH form from your bank or financial institution.

02

Step 2: Carefully read the instructions and requirements stated on the form.

03

Step 3: Gather all necessary supporting documentation such as copies of bank statements, transaction records, and any relevant communication with the unauthorized party.

04

Step 4: Fill out the affidavit form accurately and completely, providing all required information including your personal details, account information, and details regarding the unauthorized ACH transaction.

05

Step 5: Attach all the supporting documentation that proves the unauthorized ACH transaction occurred.

06

Step 6: Review the completed form and attached documents to ensure accuracy and completeness.

07

Step 7: Sign the form with your full legal name and date it.

08

Step 8: Submit the affidavit of unauthorized ACH form along with the attached documentation to your bank or financial institution as per their instructions.

09

Step 9: Follow up with your bank or financial institution to ensure that your claim is being processed and to provide any additional information if requested.

10

Step 10: Keep copies of all submitted documents and correspondence for your records.

Who needs affidavit of unauthorized ach?

01

Individuals who have experienced an unauthorized ACH transaction on their bank account.

02

Anyone who believes their bank account has been compromised and used for unauthorized electronic transfers.

03

Victims of identity theft or fraudulent activity involving ACH transactions.

04

Account holders who want to dispute an ACH transaction that was not authorized by them.

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