When customers of Huntington Bank notice unauthorized electronic (ACH) debits from their accounts, the Huntington Bank ACH Dispute Form serves as a crucial recourse for addressing these concerns. This form, officially titled "Written Statement of Unauthorized Debit," is meticulously designed to capture all necessary details about the disputed transaction, including the case number, account holder's name and contact information, account number, amount of the debit, and date of the transaction. Additionally, it requires information about the party debiting the account and offers a comprehensive checklist for account holders to indicate the specific nature of their dispute, ranging from unauthorized debits to discrepancies in the transaction amount, timing, and the processing of checks under various categorizations such as ARC, POP, BOC, and RCK entries. The form stipulates that by signing the document, the account holder attests to the unauthorized nature of the debit without fraudulent intentions on their part or that of any accomplices, ensuring the submission is made in good faith. The completion and submission of this form, which can be done via fax or mail, is a critical step for individuals to formally contest unauthorized transactions and seek rectification. The form also contains a section for Huntington branch personnel to complete, reinforcing the bank's structured approach to addressing and resolving such disputes.
| Question | Answer |
|---|---|
| Form Name | Huntington Bank Dispute Form |
| Form Length | 1 pages |
| Fillable? | Yes |
| Fillable fields | 29 |
| Avg. time to fill out | 6 min 7 sec |
| Other names | huntington bank dispute a charge, huntington dispute online, debit huntington dispute, huntington bank form |
HUNTINGTON BANK - ACH DISPUTE FORM
(WRITTEN STATEMENT OF UNAUTHORIZED DEBIT)
Case Number#__________________
Name (please print or type) __________________________________________Contact Phone #_____________________________________
Account Number __________________________Amount of Debit $______________ Date of Debit ______________20______
Party Debiting the Account __________________________________________________________________________
Party Debiting the Account __________________________________________________________________________
Statement
I (the undersigned) hereby attest that (i) I have reviewed the circumstances of the above electronic (ACH) debit to my account, (ii) the debit was not authorized, and (iii) the following, to the best of my ability to identify, is the reason for that conclusion.
(Please select the option that best fits your reason for dispute)
I did not authorize the party listed above to debit my account. (R10; R05 if CCD/CTX to consumer account)
I revoked authorization I had given to the party to debit my account before the debit was initiated. (R07 if PPD, TEL, or WEB entry only)
My account was debited before the date I authorized (R10)
My account was debited for an amount different than I authorized. (R10)
My account was debited, but the corresponding payment was not made to the intended
My check was improperly processed electronically (Check one of the following) For ARC, POP, and BOC entries only
The debit was not properly authorized by the party listed above in accordance with the requirements of the ACH Rules. (R10)
The check was ineligible to be initiated as an ARC, POP, or BOC entry. (R10)
The amount of the ARC, POP or BOC entry was not accurately obtained from the check. (R10)
Both the check and ARC, POP, and BOC entry to which it relates have been presented for payment. (R37)
For RCK Entries Only
The check was ineligible to be initiated as an RCK entry. (R51)
Notice was not provided by the party listed above in accordance with the requirements of the ACH Rules. (R51)
Signatures on the check to which the RCK entry relates were not authentic or authorized, or the check was altered. (R51)
The amount of the RCK entry was not accurately obtained from the check. (R51)
Both the RCK entry and the check to which the RCK entry relates have been presented for payment. (R53)
Signature
I am an authorized signer, or otherwise have authority to act, on the account identified in this statement. I attest that the debit above was not originated with fraudulent intent by me or any person acting in concert with me. I have read this statement in its entirety and attest that the information provided on this statement is true and correct.
Date_________________ Account Holder Signature______________________________________________________________
Return completed dispute form by: FAX: (877)
Mail: Huntington National Bank, 7 Eason Oval, ATTN: EA4W26 Columbus, OH 43219
To be completed by Branch personnel:
Branch Name & Cost Center___________________________ Colleague Name and Phone #____________________________________________
Member FDIC, ®, and Huntington® are federally registered service marks of Huntington Bancshares Incorporated. |