Consumer File Report

Decline Code Lookup

Report Forgery or Identity Theft

Reporting forgery, counterfeiting or identity theft is easy with TeleCheck

 

Please fill out the form below and one of our representatives will contact you.

Personal Information

*Required

Joint Account Holder Information

Bank Information

Items in Dispute

Check Series Reported Lost or Stolen

through


Item

To ensure we have all relevant information that best substantiates your dispute, please attach one or more of the following if available:

  • copy of a filed police report;
  • completed FTC Identity Theft Report Affidavit available at www.ftc.gov; or
  • completed bank affidavit or declaration

Note: Size of individual file should be less than 1 MB.

Legal

All of the information on and attached to this declaration is true, correct, and complete and made in good faith. I understand that this declaration or the information it contains may be made available to federal, state, and/or local law enforcement agencies for such action within their jurisdiction as they deem appropriate. I understand that knowingly making any false or fraudulent statement or representation to the government may violate federal, state, or local criminal statutes and may result in a fine, imprisonment, or both

I declare, under penalty of perjury that the foregoing is true and correct

TeleCheck may take up to 30 days to conduct an investigation from the date the dispute is received, or 45 days if we receive additional information from you about the dispute during that 30-day period.

Mail or Fax Your Identity Theft Declaration

If you prefer to submit your request via mail or fax, download the PDF version of the form and return it, along with any documentation. Full instructions are included on the form.

Have you recently had a transaction declined?

Decline Code Lookup

Click here for more information about your declined transaction.