Notification of Unauthorized MasterCard Charge
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Transaction Information: Please complete a separate form for each disputed transaction.
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Affidavit: I submit this dispute to report the unauthorized and fraudulent use of my card. I did not give, sell or trade my MasterCard debit card to anyone nor give anyone permission to use my car. I did not receive any benefit from the unauthorized use of my debit card. I have never shared my card or PIN with anyone and have never authorized anyone to use my Cal Poly Federal Credit Union MasterCard debit card.
Please include the status of your card at the time of the transaction:
My card was lost
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My card was stolen
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My card is still in my possession
Please note, this form will alert the Credit Union that you are disputing a transaction processed with your MasterCard debit card. If you are disputing multiple transactions, you must complete one dispute form for each disputed transaction. The Credit Union will research the transaction on your behalf and submit the dispute to our card processor for processing. In some instances, we may require a live signature and additional forms to complete the dispute process. We will deliver these additional forms to the email address you provide below.
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Upload images of all related documentation to this dispute.

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Thank You, we will be in touch with any further questions.