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Lost Credit Card Notice

Complete the form fields below to generate a letter informing your credit card company that you lost your credit card, telling them to no longer authorize charges on your card, and telling them to notify you of any fraudulent charges made after the date the card was lost. This letter also authorizes the credit card company to issue a replacement card.

Click here for a sample. All information appearing in bold type are the form fields that are either automatically completed by the program or completed based on information you supplied in this form.

Your Name:
Address:
City:
State/Province:	(Select a U.S. state or Canadian province.)
Zip/Postal Code:
Your Phone No.:
Credit Card Company:	(Name of credit card company)
Address:
City:
State/Province:	(Select a U.S. state or Canadian province.)
Zip/Postal Code:
Contact Person's Name:	(Select Mr./Mrs./Miss/Ms. title.)
	(Enter credit card company's contact person's first and last names in the text fields above, if known)
Card Type:
Card No.:	(Account number of your credit card)
Exp.:	(Expiration date of your credit card)
Date Card was Lost:	// (Select the month, day and year you lost your credit card)

This is not a substitute for legal advice and it is suggested that an attorney be consulted.

Lost Credit Card Notice

Enter Your New Location:

(e.g., San Diego, CA or 92121 or 619)