You did not originally participate in transactions or lost/stolen
You did originally participate Unauthorized Use
I, the undersigned claimant declare, as appropriate that:
I did not use, nor authorize anyone else to use, the Debit Card issued to me by Wailuku Federal Credit Union when said card was used to withdraw funds from my account at the Bank; or
I did not receive any value or benefit from proceeds of the card transaction(s) and no proceeds were applied to any use or purpose on my behalf; or
I have not arranged with the person(s) who misused the card to be reimbursed for proceeds of the card.
Furthermore, I have made available all knowledge, ideas, or suspicions, if any, or the identity of the person who wrongfully used my card and will make available any such knowledge gained in the future and agree to assist and cooperate fully, without limitation, with any investigation pertaining to this matter, whether by federal, state, local, or bank investigators, including testifying before a grand jury or in a court of law against the party responsible for the improper or unauthorized use of the Debit Card.
I hereby certify by signing below that the above information is true and correct.
A FALSE DECLARATION TO A FEDERALLY INSURED FINANCIAL INSTITUTION MAY BE A VIOLATION OF FEDERAL AND/OR STATE LAW.