Get the free ACH Debit Activity Affidavit - NIH Federal Credit Union - nihfcu

WRITTEN STATEMENT OF UNAUTHORIZED ACH DEBIT Member Name Member # Daytime Phone # Email Address Payment Date: Payable to: Suffix Amount: I, the undersigned, state that I have examined an ACH debit

How to fill out ach debit activity affidavit

How to fill out an ACH debit activity affidavit:

1. Begin by obtaining the ACH debit activity affidavit form from your bank or financial institution. This form may be available on their website or can be obtained by contacting their customer service department.
2. Carefully read the instructions provided on the form. The instructions will guide you on how to properly complete the affidavit and what specific information needs to be included.
3. Start by providing your personal details on the form, such as your name, address, and contact information. Ensure that all the information you provide is accurate and up-to-date.
4. Next, you will be required to provide the details of the unauthorized ACH debit activity that you are disputing. This may include the date, the amount, and any relevant transaction details. Be as specific as possible to enable the bank to accurately investigate your claim.
5. If you have any supporting documents or evidence related to the unauthorized ACH debit activity, attach copies of these materials to the affidavit. This may include bank statements, receipts, or any other relevant documentation that supports your claim.
6. Review the completed form to make sure that all the information provided is accurate and legible. Check for any errors or omissions that may impact the processing of your claim.
7. Once the form is completed, sign and date the affidavit. Ensure that you have read and understood the declaration section before signing, as this indicates that the information provided is true and accurate to the best of your knowledge.

Who needs an ACH debit activity affidavit?

1. Individuals who have noticed unauthorized or fraudulent ACH debit activity on their bank account statements may need to fill out an ACH debit activity affidavit. This form is commonly used as part of the dispute resolution process.
2. Businesses or organizations that have experienced unauthorized or fraudulent ACH debit activity on their bank accounts may also need to complete an ACH debit activity affidavit.
3. It is important to note that the specific requirements for filling out an ACH debit activity affidavit may vary between banks and financial institutions. It is advisable to consult with your bank or refer to their website for detailed instructions on when and how to use the affidavit.

For pdfFiller’s FAQs

What is ach debit activity affidavit?

The ach debit activity affidavit is a document used to report all electronic fund transfer activity within a specified time period.

Who is required to file ach debit activity affidavit?

Financial institutions that process ACH transactions are required to file ach debit activity affidavits.

How to fill out ach debit activity affidavit?

To fill out an ach debit activity affidavit, financial institutions need to gather all relevant information regarding electronic fund transfers and provide accurate details on the form.

What is the purpose of ach debit activity affidavit?

The purpose of the ach debit activity affidavit is to ensure compliance with ACH network rules and regulations, monitor transaction activity, and prevent fraud.

What information must be reported on ach debit activity affidavit?

The ach debit activity affidavit must include details such as the total number of transactions, total dollar amount, originators, receivers, and any discrepancies or exceptions.

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