Claim Forms

ATM Claim Form This form is used for any ATM error complaints you may have.

Dispute Form If you have a dispute on a credit or debit card, please provide documentation.

Overseas Authorization Form If you will be traveling overseas, please use this form to authorize your debit or credit card for transactions or let us know using Card Controls within Mobile Banking.

Official Check Stop Payment Form Use this form to stop a payment on a Y-12 FCU Cashier's Check, Teller Check or Money Order.

Stop Payment on ACH Form Use this form to stop payment on an ACH transaction.

Written Statement of Unauthorized for Credit Let us know if you have an unauthorized credit on your account.

Written Statement of Unauthorized for Debit Let us know if you have an unauthorized debit on your account.