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Click ‘Get Form’ to open the Citibank Reinstatement Form in our editor.
Begin with Section I: Reinstatement Request Details. Indicate if a replacement card is required by selecting 'Yes' or 'No'. If 'Yes', specify the delivery timeframe.
Move to Section II: Cardholder Information. Fill in all required fields marked with an asterisk (*), including your name, account number, SSN, and date of birth in mm/dd/yyyy format.
Provide your primary mailing address. If using a P.O. Box, ensure you also include a physical address in the designated section.
Complete your contact details, including commercial office phone and email address. Ensure accuracy for timely communication.
In the Signature and Agreement section, read the agreement carefully before signing and dating it. Obtain your supervisor’s approval signature as well.
Finally, forward the completed form to your Agency Program Coordinator (APC) for processing.
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