Skip to main content

Visa® Dispute Form

* Indicates Required.

  • Is the card in your possession? *

Please note that if transactions were fraudulently posted to your account (your card or card number was stolen) we will block your current card and issue you a new card and PIN.

We must hear from you no later than 60 days after we sent the FIRST statement on which the problem or error appeared. If you do not tell us within 60 days after the statement was mailed to you, you may not get back any money you lost after the 60 days if we can prove that we could have stopped someone from taking the money if you had told us in time.


Please list the transaction(s) you are wanting to dispute

Transaction #1

Transaction #2

Transaction #3

Transaction #4

If you have any questions please call our Bookkeeping Department at 773-328-7500 or 888-222-8571 ext.600

back to top