Fraud Questionnaire

Which of the following would you like to report?

  • I did not participate in this transaction, and I did not authorize anyone else to participate in this transaction

Which of the following best describes the reason for your dispute?

I lost my card.
  • When was your card lost?

  • Where did you lose your card?

    • Home
    • Auto
    • Office
    • Store
    • Rural
    • Bar
    • Hotel or Motel
    • Unknown
    • Other
  • Do you have additional details about where your card was lost?

    • No
    • Yes — Additional details
  • Countries

    • {list of countries}
    • United States of America
      • State
        • {list of states}
  • Was anything else lost?

    • No
    • Yes — Please provide additional details on what else was lost.
  • Go to Cancel card

Question properties

QuestionTypeValuesRequirement levelNotes
When was your card lost?DateMandatory
Where did you lose your card?Drop-down
  • Home
  • Auto
  • Office
  • Store
  • Rural
  • Bar
  • Hotel or Motel
  • Unknown
  • Other
  • Mandatory
    Do you have additional details about where your card was lost?Yes/NoMandatory
    Additional detailsFreeform TextConditionalWhen “Yes” to “Do you have additional details about where your card was lost?”
    CountryDrop-downFull list of countriesMandatory
    StateDrop-downFull list of statesConditionalWhen “United States of America” is selected at the country
    Was anything else lost?Yes/NoMandatory
    Please provide additional details on what else was lost.Freeform TextConditionalWhen “Yes” to “Was anything else lost?”


    My card was stolen.
    • When was your card stolen?
    • Where was the card stolen?
      • Home
      • Auto
      • Office
      • Store
      • Rural
      • Bar
      • Hotel or Motel
      • Unknown
      • Other
    • Do you have additional details about how your card was stolen?
      • No
      • Yes — Additional details
    • Was anything else stolen?
      • No
      • Yes — Please provide additional details on what else was stolen.
    • Have you ever authorized another person to use your card?
      • No
      • Yes
        • Who has authorization to use your card?
        • Have you confirmed that this transaction was not made by the authorized person?
    • Have you ever shared your Personal Identification Number (PIN)?
      • No
      • Yes — Who did you share it with?
    • Did you participate in the transaction, but were deceived into sending funds or merchandise to a fraudulent recipient?
    • Go to Cancel card

    Question properties

    QuestionTypeValuesRequirement levelNotes
    When was your card stolen?DateMandatory
    Where was the card stolen?Drop-down
  • Home
  • Auto
  • Office
  • Store
  • Rural
  • Bar
  • Hotel or Motel
  • Unknown
  • Other
  • Mandatory
    Do you have additional details about how your card was stolen?Yes/NoMandatory
    Additional detailsFreeform TextConditionalWhen “Yes” to “Do you have additional details about how your card was stolen?”
    CountryDrop-downFull list of countriesMandatory
    Was anything else stolen?Yes/NoMandatory
    Please provide additional details on what else was stolen.Freeform TextConditionalWhen “Yes” to “Was anything else lost?”
    Have you ever authorized another person to use your card?Yes/NoMandatory
    Who has authorization to use your card?Freeform TextConditionalWhen “Yes” to “Have you ever authorized another person to use your card?”
    Have you confirmed that this transaction was not made by the authorized person?Yes/NoConditionalFollows “Who has authorization to use your card?”
    Have you ever shared your Personal Identification Number (PIN)?Yes/NoMandatoryOnly if transaction type is ATM or Pinned
    Who did you share it with?Freeform TextConditionalWhen “Yes” to “Have you ever shared your Personal Identification Number (PIN)?”
    Did you participate in the transaction, but were deceived into sending funds or merchandise to a fraudulent recipient?Yes/NoMandatory


    I did not receive my card.
    • When did you expect to receive your card?
    • Does anyone else have access to your mail?
      • No
      • Yes — Please explain.
    • Have you ever authorized another person to use your card?
      • No
      • Yes
        • Who has authorization to use your card?
        • Have you confirmed that this transaction was not made by the authorized person?
          • No
          • Yes
    • Have you ever shared your Personal Identification Number (PIN)?
      • No
      • Yes — Who did you share it with?
    • Is the following information correct?
      • No — Please contact us at immediately to update your contact information
      • Yes
    • Go to Cancel card

    Question properties

    QuestionTypeValuesRequirement levelNotes
    When did you expect to receive your card?DateMandatory
    Does anyone else have access to your mail?Yes/NoMandatory
    Please explain.Freeform TextConditionalWhen “Yes” to “Does anyone else have access to your mail?”
    Have you ever authorized another person to use your card?Yes/NoMandatory
    Who has authorization to use your card?Freeform TextConditionalWhen “Yes” to “Have you ever authorized another person to use your card?”
    Have you confirmed that this transaction was not made by the authorized person?Yes/NoConditionalFollows “Who has authorization to use your card?”
    Have you ever shared your Personal Identification Number (PIN)?Yes/NoMandatoryOnly if transaction type is ATM or Pinned
    Who did you share it with?Freeform TextConditionalWhen “Yes” to “Have you ever shared your Personal Identification Number (PIN)?”
    Is the following information correct?Yes/NoMandatory
    Please contact us at immediately to update your contact information.ConditionalWhen “No” to “Is the following information correct?”


    I didn't make the transaction, but I still have my card.
    • Have you ever done business with any of the merchants involved in the fraudulent transactions?
      • No
      • Yes — Is it possible that this is a planned, recurring transaction, such as a monthly or yearly subscription?
        • No
        • Yes — Based on the information you provided we will need to update the claim reason. Please go back and choose a new claim reason.
    • Do you always have possession of the card?
      • No
        • Where is the card usually kept?
        • In what circumstances do you not have the card in your possession?
      • Yes
    • Have you ever authorized another person to use your card?
      • No
      • Yes
        • Who has authorization to use your card?
        • Have you confirmed that this transaction was not made by the authorized person?
    • Have you ever shared your Personal Identification Number (PIN)?
      • No
      • Yes — Who did you share it with?
    • Did you participate in the transaction, but were deceived into sending funds or merchandise to a fraudulent recipient?
      • No
      • Yes
    • Go to Cancel card

    Question properties

    QuestionTypeValuesRequirement levelNotes
    Have you ever done business with any of the merchants involved in the fraudulent transactions?Yes/NoMandatory
    Is it possible that this is a planned, recurring transaction, such as a monthly or yearly subscription?Yes/NoConditionalWhen “Yes” to “Is it possible that this is a planned, recurring transaction, such as a monthly or yearly subscription?”
    Based on the information you provided we will need to update the claim reason. Please go back and choose a new claim reason.ConditionalWhen “Yes” to “Is it possible that this is a planned, recurring transaction, such as a monthly or yearly subscription?”
    Do you always have possession of the card?Yes/NoMandatory
    Where is the card usually kept?Freeform TextConditionalWhen “No” to “Do you always have possession of the card?”
    In what circumstances do you not have the card in your possession?Freeform TextConditionalFollows “Where is the card usually kept?”
    Have you ever authorized another person to use your card?Yes/NoMandatory
    Who has authorization to use your card?Freeform TextConditionalWhen “Yes” to “Have you ever authorized another person to use your card?”
    Have you confirmed that this transaction was not made by the authorized person?Yes/NoConditionalFollows “Who has authorization to use your card?”
    Have you ever shared your Personal Identification Number (PIN)?Yes/NoMandatoryOnly if transaction type is ATM or Pinned
    Who did you share it with?Freeform TextConditionalWhen “Yes” to “Have you ever shared your Personal Identification Number (PIN)?”
    Did you participate in the transaction, but were deceived into sending funds or merchandise to a fraudulent recipient?Yes/NoMandatory


    Cancel card

    Due to the fraud on your account, we are cancelling your card.
    • Would you like us to send you a replacement card?
      • No — No new card will be issued at this time. If you change your mind, please contact customer service or visit your local banking center to request a new card.
      • Yes
    • Do you have any additional information to provide about this dispute?
      • No
      • Yes – Please provide any additional information.

    Question properties

    QuestionTypeValuesRequirement levelNotes
    Would you like us to send you a replacement card?Yes/NoMandatory
    No new card will be issued at this time. If you change your mind, please contact customer service or visit your local banking center to request a new card.ConditionalWhen “No” to “Would you like us to send you a replacement card?”
    Do you have any additional information to provide about this dispute?Yes/NoMandatory
    Please provide any additional information.Freeform TextConditionalWhen “Yes” to “Do you have any additional information to provide about this dispute?”

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