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Nfcu 27

This document is a security appeal form for Navy Federal Credit Union. It allows members to appeal account restrictions, membership denials, or fraud claim outcomes. The form requires the member's contact information and a description of the issue they are appealing. Members must also provide any supporting documentation and certify that the information they have provided is true. The completed form should be returned to Navy Federal for review within 15 business days.

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kramergeorgec397
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59 views

Nfcu 27

This document is a security appeal form for Navy Federal Credit Union. It allows members to appeal account restrictions, membership denials, or fraud claim outcomes. The form requires the member's contact information and a description of the issue they are appealing. Members must also provide any supporting documentation and certify that the information they have provided is true. The completed form should be returned to Navy Federal for review within 15 business days.

Uploaded by

kramergeorgec397
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Please return the completed form to


Navy Federal Credit Union,
[email protected] or
Security Appeal Form 5550 Heritage Oaks Drive, Pensacola, FL 32526

Attention: This form should not be used to initiate the notification to Navy Federal Credit Union of fraud that has taken place. This form should
not be used to initiate an appeal of a fraud claim relating to a debit or credit card. Please provide supporting documentation with this form
to assist in the evaluation of a security action on your account(s). Please read each category in its entirety and ensure you have provided all
requested information. Allow 15 business days for your appeal to be reviewed.
A. Please complete each item in this section. (Required Information)
Name: First MI Last Suffix Access No.

Address: Street City State Zip Code Account No.

Best Contact No. Application ID (If New Membership) Email

B. Please check and complete the category that best describes your appeal. (Required Information)
☐ I am attempting to appeal an account restriction.
☐ I have attempted to correct the account issue(s) that may have led to the account restriction. (Required)
Please describe your attempt to correct the account issue(s). (Use additional space on page 2 if needed.)

☐ I am attempting to appeal Navy Federal’s decision to deny my membership application.


☐ I am attaching my government-issued photo ID and proof of address documents. (Required by Section 326 of the USA PATRIOT Act)
Please describe discrepancies with your submitted documents, if applicable. (Use additional space on page 2 if needed.)

☐ I am attempting to overturn the outcome of a fraud claim that I submitted previously.


☐ I have new information that was not previously disclosed by me during the investigation. (Required)
Please describe the additional information that you have that may overturn our decision. (Use additional space on page 2 if needed.)

☐ I certify to the best of my knowledge and belief that all the information on this form is true, correct, complete, and made in good faith. I also understand
that this information may be provided to federal, state, and local law enforcement agencies for such action within their jurisdiction as they deem
appropriate. I understand that knowingly making any false or fraudulent statement or representation may constitute a violation of 18 U.S.C. or other
federal, state, or local criminal statutes and may result in imposition of a fine, imprisonment, or both.
Signature Date (MM/DD/YY)

INCLUDE ANY ADDITIONAL INFORMATION ON BACK

© 2021 Navy Federal NFCU 27 (6-21)


Please provide any documentation you have relating to this appeal that may assist in the evaluation process (e.g., police report, original forged document(s),
government-issued photo ID, proof of address).

C. Use this section to provide any additional information.


www

Signature Date (MM/DD/YY)

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