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PO BOX 19340, SEATTLE, WA 981091340 800.562.5515 BALANCE.ORG FEDERALLY INSURED BY THE NCAA REV 8/15 Affidavit of Cardholder Fraud Claim Form MEMBER INSTRUCTIONS: This Affidavit of Cardholder Fraud
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How to fill out affadivit of cardholder fraud

How to fill out an affidavit of cardholder fraud:
01
Gather all the necessary information regarding the cardholder fraud incident, such as the date and time it occurred, any suspicious transactions or unauthorized charges, and any additional details that can support your claim.
02
Obtain a copy of your credit card or bank statement that clearly shows the fraudulent charges or unauthorized transactions.
03
Contact your credit card issuer or bank to report the fraudulent activity and inform them that you will be filing an affidavit of cardholder fraud.
04
Obtain the affidavit form from your credit card issuer or bank. This form may be available online or can be requested from their customer service department.
05
Carefully read the instructions provided with the affidavit form to understand the required information and documentation.
06
Start filling out the affidavit form by providing your personal information, such as your name, address, contact details, and account information.
07
Describe the fraudulent activity in detail, including the specific transactions or charges that are fraudulent or unauthorized. Provide any additional supporting evidence, such as receipts, emails, or messages related to the fraud.
08
Sign and date the affidavit form, ensuring that you have read and understood the content and that the information provided is true and accurate to the best of your knowledge.
09
Make copies of the completed affidavit form and any supporting documentation for your records.
10
Submit the affidavit of cardholder fraud to your credit card issuer or bank as per their instructions.
Who needs an affidavit of cardholder fraud:
01
Any individual who has experienced fraudulent or unauthorized activity on their credit card or bank account.
02
Individuals who want to report and document the fraudulent activity to their credit card issuer or bank.
03
Those seeking to dispute fraudulent charges or transactions and potentially recover any lost funds.
04
People who want to protect themselves from potential liability for the unauthorized activity on their accounts.
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What is affadivit of cardholder fraud?
An affidavit of cardholder fraud is a legal document stating that the cardholder did not authorize a particular transaction on their credit or debit card.
Who is required to file affadivit of cardholder fraud?
The cardholder who believes they are a victim of fraud is required to file an affidavit of cardholder fraud.
How to fill out affadivit of cardholder fraud?
The cardholder must provide their personal information, details of the unauthorized transaction, and any supporting documents to fill out the affidavit of cardholder fraud.
What is the purpose of affadivit of cardholder fraud?
The purpose of the affidavit of cardholder fraud is to formally report the unauthorized transaction to the card issuer or financial institution.
What information must be reported on affadivit of cardholder fraud?
The cardholder must report their personal information, details of the unauthorized transaction, date of the transaction, and any relevant supporting documents.
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