Notification of Dispute ATM/DEBIT/CREDIT


CAACU

Notification of Dispute ATM/DEBIT/CREDIT





Transaction Information
(If more than one transaction is in dispute, please provide list specifying the information below for each charge.)






I am disputing the transaction (s) in question because of the following reason(s):

*If transaction is unauthorized, please indicate status of card (check one):

If cardholder still in possession of card, is counterfeit card use suspected?









ATTACH COPIES OF ALL RELATED DOCUMENTATION HERE

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Signature Certificate
Document name: Notification of Dispute ATM/DEBIT/CREDIT
lock iconUnique Document ID: dcdafb9ae2bdc3989999611ee521bb819de4faee
Timestamp Audit
September 28, 2021 12:49 pm PDTNotification of Dispute ATM/DEBIT/CREDIT Uploaded by California Community Credit Union - thestaff@caccu.org IP 67.199.161.80
November 28, 2021 10:48 pm PDTCalifornia Community Credit Union - backoffice@caccu.org added by California Community Credit Union - thestaff@caccu.org as a CC'd Recipient Ip: 67.199.161.80