Transaction Dispute – ATM Shortage

Use this form to dispute an ATM withdrawal. Fields marked with "*" are required.

Personal Information

*First Name

Please enter First Name

*Last Name

Please enter Last Name

*Street Address

Please enter Address

Address 2

*City

Please enter city

*State

Please select state

*Zip (please enter 5 digits)

Please enter a 5-digit or 9-digit zip code

*Email Address

Please enter Email

*Daytime Telephone

Please enter Phone

Continue

Card Details

*Type Of Card

Please select Card Type

*Card Number

Please enter Card number

*Date of Withdrawal

*Time of Withdrawal

Hours

Please enter Time

Minutes

Please enter Time

AM/PM

*Amount Requested

Please enter Amount Requested

*Amount Received

Please enter Amount Requested

*ATM Location

Please enter ATM Location

Continue

Dispute Details

Please give us any additional information that may help us research your claim

By submitting this claim form, I attest to the accuracy of the information provided. I understand that First Horizon Bank may need to contact me or other parties in the transaction to investigate and validate my claim. First Horizon Bank has my permission to contact me at the telephone number provided on the claim form. If I am not available or willing to provide the information required, I understand my claim may not be processed or may be denied. During the course of the claim investigation or as a result of investigation results, First Horizon Bank may advise me of other courses of action I might pursue. This may include completion of an affidavit of forgery, engagement with law enforcement or engagement directly with another entity who is a party to my dispute. Please agree to terms

Questions? Contact us at 800-382-5465 or stop by a branch.

First Horizon Bank. Member FDIC.