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    Dispute process CANNOT begin until item has posted to your account.
    Your application session will automatically time out if there is no activity for 25 minutes. All information will be lost if this occurs.

Personal Information

  • OK Today's Date is required
  • OK Account Number is required
  • OK Member Name is required
  • * Please put name as it appears on account
  • OK Street Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Daytime Phone

    - -
    OK Daytime Phone is required
  • Evening Phone

    - -
    OK Evening Phone is required
  • Cell Phone

    - -
    Optional OK Cell Phone is required
  • OK Debit Card # is required

Transaction Information

  • OK Date of Transaction is required
  • OK Transaction Amount is required
  • Optional OK Merchant Name (if known) is required
  • Optional OK City is required
  • Optional OK State is required
  • Optional OK Zip is required
  • What type of transaction was this?

    OK What type of transaction was this? is required

    Fraud example: You had no knowledge of the transaction, did not authorize or provide your debit card information, and did not benefit from the purchase.

    Merchant example: You forgot to cancel a membership, were charged the wrong amount, unhappy with the service or item you received, you provided your card information to the merchant, and have attempted to resolve the issue with the merchant directly and were unsuccessful prior to filing the dispute.

  • ATM/Debit Card Dispute
Debit Card Dispute

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