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Written Statement of Unauthorized Debit Card POS Transaction(s) 1. Cardholder and Transaction Information Member Name___ Account Number___ Amount of Transaction___ Date of Transaction___ Merchants

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How to fill out written-statement-of-unauthorized-debit-card-transaction

01

Obtain a copy of the unauthorized debit card transaction from your bank or credit card company.

02

Fill out your personal information including your name, address, and contact information.

03

Provide details about the unauthorized transaction including the date, time, amount, and merchant involved.

04

Explain how you came to find out about the unauthorized transaction.

05

Sign and date the written statement.

Who needs written-statement-of-unauthorized-debit-card-transaction?

01

Anyone who has experienced an unauthorized debit card transaction and needs to dispute the charge with their bank or credit card company.

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What is written-statement-of-unauthorized-debit-card-transaction?

It is a document that details unauthorized transactions made using a debit card.

Who is required to file written-statement-of-unauthorized-debit-card-transaction?

Any individual who has experienced unauthorized transactions on their debit card should file this statement.

How to fill out written-statement-of-unauthorized-debit-card-transaction?

Fill out the form with your personal information, details of the unauthorized transactions, and any other relevant information requested.

What is the purpose of written-statement-of-unauthorized-debit-card-transaction?

The purpose is to report unauthorized transactions and request an investigation by the card issuer.

What information must be reported on written-statement-of-unauthorized-debit-card-transaction?

You must report details of the unauthorized transactions, your account information, and any other relevant details.

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