Fraud Application Questionnaire
- Geordie Connell
- Kristafanie Somers
- Devan Robertson
- Nick Facca
I did not apply for this account.
Question Property Type Values Mandatory/Optional/Conditional Notes I received a card or bill, I saw the account on my credit report, I was contacted regarding a past due balance, Claim initiated by internal bank service, OtherHave you recently applied for credit from our organization? HasAppliedForCredit Yes/No Mandatory How did you learn about the existence of this account? DiscoveryMethod Radio Mandatory Please explain how you learned about the existence of this account. OtherDiscoveryExplanation Text Mandatory if DiscoveryMethod="Other" When did you learn about this account? DiscoveryDate Date Mandatory
Question Property Type Values Mandatory/Optional/Conditional NotesIs there someone you suspect did this? IsSuspectKnown Yes/No Optional - See Collect Suspect Information First PartyInfo.Name.First Text Optional; Displayed if IsSuspectKnown = "Yes" Middle PartyInfo.Name.Middle Text Optional; Displayed if IsSuspectKnown = "Yes" Last PartyInfo.Name.Last Text Optional; Displayed if IsSuspectKnown = "Yes" Address Line 1 PartyInfo.FullAddressDetails.Line1 Text Optional; Displayed if IsSuspectKnown = "Yes" Address Line 2 PartyInfo.FullAddressDetails.Line2 Text Optional; Displayed if IsSuspectKnown = "Yes" Address Line 3 PartyInfo.FullAddressDetails.Line3 Text Optional; Displayed if IsSuspectKnown = "Yes" City PartyInfo.FullAddressDetails.City Text Optional; Displayed if IsSuspectKnown = "Yes" State PartyInfo.FullAddressDetails.State Drop-down All US states Optional; Displayed if IsSuspectKnown = "Yes" Zip PartyInfo.FullAddressDetails.Zip Text Optional; Displayed if IsSuspectKnown = "Yes" Country PartyInfo.FullAddressDetails.Country Drop-down All countries Optional; Displayed if IsSuspectKnown = "Yes" Relationship PartyInfo.Relationship Text Optional; Displayed if IsSuspectKnown = "Yes" DOB PartyInfo.DateOfBirth Date Optional; Displayed if IsSuspectKnown = "Yes" SSN PartyInfo.SSNTIN Text Optional; Displayed if IsSuspectKnown = "Yes" ID PartyInfo.EntityID Text Optional; Displayed if IsSuspectKnown = "Yes"
Question Property Type Values Mandatory/Optional/Conditional Notes While not required, have you filed a police report? WasPoliceReportFiled Yes/No Optional - See Collect Police Report Information Report ID .SuspectInfo.PoliceReportId Text Mandatory if WasPoliceReportFiled="Yes" Officer Name .SuspectInfo.OfficerName Text Mandatory if WasPoliceReportFiled="Yes" Phone Number .SuspectInfo.OfficerPhoneNumber Text Mandatory if WasPoliceReportFiled="Yes" Department .SuspectInfo.PoliceDepartment Text Mandatory if WasPoliceReportFiled="Yes" Address Line 1 .SuspectInfo.PoliceDepartmentAddress Text Optional; Displayed if WasPoliceReportFiled = "Yes" Address Line 2 .SuspectInfo.PoliceDepartmentAddress Text Optional; Displayed if WasPoliceReportFiled = "Yes" Address Line 3 .SuspectInfo.PoliceDepartmentAddress Text Optional; Displayed if WasPoliceReportFiled = "Yes" City .SuspectInfo.PoliceDepartmentAddress Text Optional; Displayed if WasPoliceReportFiled = "Yes" State .SuspectInfo.PoliceDepartmentAddress Text Optional; Displayed if WasPoliceReportFiled = "Yes" Zip .SuspectInfo.PoliceDepartmentAddress Text Optional; Displayed if WasPoliceReportFiled = "Yes" Country .SuspectInfo.PoliceDepartmentAddress Text Optional; Displayed if WasPoliceReportFiled = "Yes"
Question Property Type Values Mandatory/Optional/Conditional Notes "Please contact us at <ClientInformationPhoneNumber> immediately to update your contact information."Is the following information correct? IsContactInfoCorrect Yes/No Mandatory Paragraph Appears if IsContactInfoCorrect = "No"
Question Property Type Values Mandatory/Optional/Conditional Extension: Intake Attachment Prompt To prompt users to attach any available documentation during intake, set CanAttachIntakeDocs to true.Notes Do you have any additional information to provide about this dispute? AdditionalInformationInd Yes/No Mandatory If you have any documentation in support of your claim, please attach it now. N/A Attachment Optional Please provide any additional information. AdditionalInformation Mandatory if AdditionalInformationInd= "Yes"