ATM/Debit Card Dispute

ATM Card Dispute Form

  • ATM Card Only

    If you are needing to file a dispute on a debit or credit card, for fraud or non-fraud transactions call: 1-833-809-9996
  • List transaction details below. To add additional lines, press the + at the end of a row.
    DateDescriptionAmount 
  • By signing below, I certify that the above information is true and accurate. For fraudulent transaction, I further certify that the above was not authorized by me nor did I authorize any other individual to conduct the activity with my ATM/debit card.