Share Draft Adjustment Request

Share Draft Adjustments ONLY should be entered on this form.

RETURNS MUST BE ENTERED ON THE RETURNS FORM

Proceed to Returns Form

NOTE: Your credit union is responsible for any delays or failure to return items submitted on the Share Draft Adjustment Form.

 

Credit Union Information
(-
Your Contact Information
(-
Debit/Credit Adjustment
REQUIRED
Note: Adjustment Types - Source of Receipt or Non Entry Request Require Debit or Credit Adjustment Dollar Amount.
Adjustment Information
Select Adjustment Type (REQUIRED):
     
     
  Paid Twice - Second Presentment Information
(mm/dd/yy)
  (mm/dd/yy)
 
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