Tell us about the reason behind the dispute.

My ATM deposit did not post to my account.

Question	Type	Values	Mandatory/Optional/Conditional	Notes
What was the date of the deposit?	Date		Mandatory
What did you deposit?	Single Select	Cash Check Both	Mandatory
What was the total amount deposited in cash?	Freeform Text		Conditional	When “Cash” or “Both” is selected
Enter the following information about each check that was deposited. You may enter up to 30 checks per ATM deposit claim.		Check Amount Maker Check Number Date	Conditional	When “Check” or “Both” is selected
What were the last 4 digits of the card used?	Freeform Text		Mandatory
Was this transaction performed at a <Client Name> ATM?	Yes/No		Mandatory
Please provide the location of the ATM:	Freeform Text	Crossroads Street Address Street Address #2 City State Zip	Conditional	When “Yes” to “Was this transaction performed at a <Client Name> ATM?” All fields are optional
Which institution did the ATM belong to?	Freeform Text		Conditional	When “No” to “Was this transaction performed at a <Client Name> ATM?”
Please provide the location of the ATM:	Freeform Text	Crossroads Street Address Street Address #2 City State Zip	Conditional	Follows “Which institution did the ATM belong to?” All fields are optional
Do you have a receipt?	Yes/No		Mandatory
Do you have any additional information to provide about this dispute?	Yes/No		Mandatory
Please provide any additional information.	Freeform Text		Conditional	When “Yes” to “Do you have any additional information to provide about this dispute?”

ATM Questionnaires