ATM Fraud Dispute - POLAM Federal Credit Union

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Higher Deposit Rates, Lower Loan Rates and Fewer Fees

POLAM’s focus is serving the financial needs of their members and not making a profit. That’s why any profit made after operating expenses is returned back to the member in the form of Higher Deposit Rates, Lower Loan Rates and Fewer Fees!

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Because POLAM’s focus is serving member’s financial needs and not making a profit, any profit made after operating expenses is returned to the member. This is why we can offer you lower loan rates and higher deposit rates compared to banks that operate for profit.

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ATM Fraud Dispute

Home Member Resources and Forms ATM Fraud Dispute

"*" indicates required fields

Cardholder Name*

Card Number*

Dispute Reason/Elaboration

At the time of the transaction(s), please indicate status of card (Please check one)*

Card Lost

Card Stolen

Card Still in Accountholder’s Possession

New or Reissue Card Never Received

Date Card Was Lost*

Date Card Was Stolen*

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

Yes

No

Issuer certifies Cardholder denies authorizing or participating in the disputed transaction. No one authorized to use this account signed for or participated in the transaction(s).*

Yes

No

Transaction Information

Transaction Date

Merchant Name

Dollar Amount

Transaction Date

Merchant Name

Dollar Amount

Transaction Date

Merchant Name

Dollar Amount

Transaction Date

Merchant Name

Dollar Amount

Transaction Date

Merchant Name

Dollar Amount

Transaction Date

Merchant Name

Dollar Amount

Transaction Date

Merchant Name

Dollar Amount

Transaction Date

Merchant Name

Dollar Amount

Transaction Date

Merchant Name

Dollar Amount

Transaction Date

Merchant Name

Dollar Amount

Signature*

Date*

hCaptcha

Phone

This field is for validation purposes and should be left unchanged.

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Los Angeles Office

589 N. Larchmont Blvd, Los Angeles, CA 90004
(323) 463-5137
(800) 404-5137
(323) 460-4518

View Office Hours

Orange Office

1700 N. Tustin St., Suite C. Orange, CA 92865
(714) 998-1016
(714) 998-1057

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NMLS # 719238
NMLS # 1695735
Routing # 322078927

Equal Housing Lender
Federally insured by NCUA

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