Cardholder's Report Of Stolen Credit Card

TO: _______________________

___________________________

 

Since receiving the ________________________ issued under the number____________________, it has been stolen. The card was stolen on or about ___________, 201(x).

The card was stolen under the following circumstances:

 

(Describe Situation)

 

I notified ___________________________ by telephone of the theft of the card on ___________________, 201(x).

 

You are hereby authorized to take all steps necessary and to notify the appropriate authorities to avoid illegal use of the above-numbered credit card.

__________________________

__________________________

 

DOWNLOAD

File Format : Word | .doc | .docx | PDF | Rich Text