VISA Dispute

This VISA Dispute form is to be used when fraudulent or unauthorized charges have posted to your account.

Member Information

Type of Loss

Lost

Stolen

Card in my possession

Disputed Transaction (s)

I have examined the charges on my card and have questions about the following:

Explain Dispute: Upon submitting the dispute, you will be taken to DocuSign. Please choose the appropriate option and explain if needed.

Please complete the information above. Your VISA Dispute request will be reviewed. You will be asked to complete verification questions for your security. If you have questions regarding this form or your account, please contact us during business hours at (801) 566-4195.

I have read and agreed to the terms

Questions? Contact a representative.

801-566-4195

Branch Contact Info