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Chartway will NEVER contact you directly and ask for specific confidential information (login credentials, PIN, card number, etc.). Be aware of fraudulent text and phone scams and take extra precaution. If you are contacted unprompted, please call us at (800) 678-8765. We are here to help keep your accounts safe.

Unauthorized ACH Form

Written Statement of Unauthorized Debit

Please complete one form for each disputed item.

Questions or need assistance completing this form? Please contact us at (800) 678-8765. If you prefer fax or email a PDF version of this form, click here to Download/Print a PDF.