Federal atm declaration form 2025

1. Click ‘Get Form’ to open the federal ATM Declaration of Unauthorized Use in the editor.
2. Begin by entering your name and account number in the designated fields. Ensure accuracy as this information is crucial for processing your declaration.
3. Fill in the joint name and card number if applicable. This helps identify any shared accounts or cards involved in the unauthorized transactions.
4. Provide your phone number for contact purposes. This allows the bank to reach you for any follow-up questions regarding your declaration.
5. List each unauthorized transaction by entering the date, amount, type of transaction, and location of the ATM where it occurred. Be thorough to ensure all incidents are documented.
6. Indicate whether you had possession of the card during these transactions and answer questions about PIN security and previous permissions granted to others.
7. Detail when the card was lost or stolen and confirm that you reported it to Certified Federal. Provide a brief explanation of how the loss occurred.
8. Sign and date the form at the bottom, ensuring both signatures are present if applicable. This finalizes your declaration.

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