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Cardholder Dispute (Fraud)

For fraudulent use of a credit card, ATM, or debit card.

Form Instructions

Complete, print and sign this form, then mail, deliver, or fax it to:

Star One Credit Union
P.O. Box 3643
Sunnyvale CA 94088-3643
Attn: Card Services
Fax: (408) 543-5203

To submit this form electronically, log into Online Banking and select "Cardholder Dispute Form (Fraud)" in the "Forms" menu.

If you have any questions call us at 866-543-5202 or 408-543-5202.

Your Information
Email address:
Card Status:
Were you contacted by our Risk Management Department?

I have examined the charges made to my account and I am disputing the following charge(s) as neither I nor any person authorized by me to use my card, made the charge(s) listed below. In addition, neither I nor anyone authorized by me received goods and services represented by the transaction(s).

Transaction Information
Merchant Name/Terminal Location Posting Date Amount Disputed
Total Claim $

Explain the circumstances surrounding the fraud and list any additional disputed transactions:

I give my consent to the credit union to release any information regarding my card and/or card account to any local, state and/or federal law enforcement agency so that the information can, if necessary, be used in the investigation and/or prosecution of any person(s) who may be responsible for fraud involving my card and/or card account.

Member Signature

Digital Banking Interruption

Saturday, December 4—Online Banking, Mobile Banking and Touchtone Teller will be intermittently unavailable from 6–11 p.m. PT for scheduled maintenance.

If you are unable to log in during that time, please try again later.

Our extensive ATM network will remain available during the brief outage.