Please fill out this form to submit your dispute.  All pertinent documentations supporting your dispute such as receipt, credit slip, or proof of payment by other means, should be emailed to using our Secure Email Service. Please include the last four digits of your account number and credit card number in your email. 

  • 1 Current Cardholder Information
  • 2 Transaction/Merchant Information
  • 3 Reason for Dispute
  • 4 Complete
Card Type
Card Is In My Possession

Please Note: This form is not for fraudulent transactions. Fraudulent transactions are unknown merchants charging unauthorized transactions. You must immediately contact NWFCU to obtain an Affidavit of Fraud. Your card must be closed. You must return your card with the notarized Affidavit of Fraud.