LOST /STOLEN CARD REPORT FORM - Equity Bank 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Log Number, Date, and Time reported to the Card Centre at the top of the form.
3. In the section labeled 'I/We', provide your full name as the cardholder reporting the loss.
4. Fill in your Account Number and include details of any other person reporting, if applicable.
5. Indicate whether the card was lost, stolen, or if there are other circumstances. Specify your relation to the cardholder.
6. Complete the Cardholder's Name, Branch, Home Address, Postal Address, City, and Country fields accurately.
7. Document when and where the card was last used by filling in the relevant fields for Date and Amount.
8. Provide your Home Telephone Number and Mobile Number along with an Estimated Balance of your Account.
9. Enter your Card Number and describe the circumstances surrounding its loss or theft.
10. Indicate if the card is linked to an ATM and whether you require an Emergency Replacement Card.
11. List any other cards or documents that were lost or stolen before signing and dating at the bottom of the form.

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