Statement of Unauthorized or Improper EFT Activity



Form Instructions
Section 1 - Customer Information
Section 2 - ATM, Point of Sale, Debit or Payroll Card Was Involved
Section 3 - Unauthorized Debit Entry Only
Section 4 - Improper Debit Entry Only
Section 5 - Stop Payment of Future Transactions
Section 6 - Authorization and Acknowledgement Statement
Notary Information
Bank Use Only

This form template is also included in the purchase price of the Automated Clearing House Policy Template or Regulation E Policy Template.

This form template (approximately 3 pages in Arial Font Size 8 text) is available to purchase from in Microsoft® Word format for a flat fee of $25.00, and you can receive your order via e-mail attachment or on CD-ROM for large volume orders.

To purchase the complete set of Forms at special bulk prices, (click here).

Add to Cart:

  • Model: Form-SofUEFT
  • Manufactured by: Bank Policies

This product was added to our catalog on Tuesday 16 March, 2010.

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