Debit Card Transaction Fraud/dispute Form (Page 3 of 3) in pdf

Debit Card Transaction Fraud/dispute Form Page 3

Fax:

To:

From:

Debit Card Services

Fax:

Pages:

904.357.3503

Re:

Fraud/Dispute Form

Date:

Check List for Debit Card Fraud/Dispute Form

1. Completed Debit Card Fraud/Dispute Form

2. Supporting Documentation, specified on dispute form

- Police Report

- Proof of Alternate Payment

- Sales Receipt(s)

- Cancellation Communication

- Credit Slip

- Contract

- Proof of Return

- Other Documentation

3. Mail or Fax Form to:

JAX Federal Credit Union

Attn: Debit Card Services

562 Park St

Jacksonville, FL 32204

Fax: (904) 357-3503

3. Contact Debit Card Services with any questions

(904) 475-8081

(904) 475-8000

4. Once we receive all the necessary documentation, it can take up to 90 days to investigate

your claim. If a provisional credit is warranted it will be provided as soon as possible

but no later than 10 business days.

The following facsimile is intended for the above referenced recipient only.

If you received this fax in error, please contact the sender

at JAX Federal Credit Union at (904) 475-8000.

Page 3 of 3

Debit Card Transaction Fraud/dispute Form Page 3