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Customer Service Experience housekeeping experience

Location:
South Bend, IN, 46601
Salary:
17 an hr
Posted:
December 03, 2024

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Resume:

CUSTOMER AFFIDAVIT OF ERRONEOUS TRANSFER

Page * of 2

Please complete only ONE of the sections below. Once completed, please send the form and any supporting documentation that may help facilitate our investigation to the following: Fax to:

Email to:

415-***-****

******@*****.***

If you have any questions, please contact *******@*****.*** or 1-844-***-****. Your Name: Your Chime Account #: Amount(s): $ Transfer Date(s): Please complete only ONE of the sections below.

SECTION 1: TRANSFER NOT AUTHORIZED

By selecting this option, I certify that the transfer(s) listed above was (were) not made by me, nor a person authorized by me. 1. Has your mobile phone been stolen, lost, or misplaced? (Select one):

NO YES (If Yes, complete the following)

Please provide additional details as to what happened: 2. Have you given permission to anyone to use your mobile device? (Select one):

NO YES (If Yes, complete the following)

Name: Relationship: 3. Does your mobile device require a passcode or fingerprint to unlock and use? (Select one)

NO YES (If Yes, complete the following)

Where do you store your passcode? (list “fingerprint” if your fingerprint is used) 4. The Chime mobile app requires a passcode to gain access to all transfer services. Have you shared this passcode with anyone?

(Select one):

NO YES (If Yes, complete the following)

Who did you share your passcode with? What is your relationship to this person? 5. Access to your online account at www.chime.com requires a password. Have you shared this password with anyone?

(Select one):

NO YES (If Yes, complete the following)

Who did you share your password with? What is your relationship to this person? 6. When was the last time you changed your password for your Chime account? 7. Have you filed a police report? (Select one)

NO YES (If Yes, complete the following)

District/Officer name: Report number: Suspect name: CUSTOMER AFFIDAVIT OF ERRONEOUS TRANSFER

Page 2 of 2

SECTION 2: DUPLICATE TRANSFER

I intended to send a single transfer in the amount of $ to

(recipient name or email address), but (number of transfer[s]) in the amount of $ was (were) transferred instead.

1. Have you contacted the recipient directly to resolve the issue? (Select one):

NO YES (If Yes, complete the following)

What was the outcome? What is your relationship to this person?

SECTION 3: INCORRECT TRANSFER AMOUNT

I intended to transfer the amount $ to (recipient name or email address), but the amount $ was transferred instead. 1. Have you contacted the recipient directly to resolve the issue? (Select one):

NO YES (If Yes, complete the following)

What was the outcome? What is your relationship to this person?

SECTION 4: TRANSFER SENT TO INCORRECT RECIPIENT

I intended to transfer the amount $ to (intended recipient name or email address), but the amount $ was transferred to (actual recipient name or email address) instead.

1. Have you contacted the recipient directly to resolve the issue? (Select one):

NO

Do you know the individual who received the transfer?

YES (If Yes, complete the following)

What was the outcome? What is your relationship to this person?

SECTION 5: TRANSFER NOT RECEIVED

I transferred the amount $ to (recipient name or email address), but they state that no transfer was received. I have confirmed the funds were debited from my Spending Account on (date).

l declare under penalty of perjury (under the laws of the United States of America) that the above information is true and correct to the best of my understanding.

Cardholder signature: Date: Contact number (during the hours of 8am-5pm CST):



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