[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Credit Card Company Name] [Credit Card Company Address] [City, State, ZIP] Subject: Report of Lost Credit Card Dear [Credit Card Company Name], I am writing to report the loss of my credit card issued by your esteemed establishment. I am a resident of Allegheny, Pennsylvania, and I have unfortunately misplaced my credit card while shopping in the local vicinity. I kindly request that you take the necessary steps to safeguard my account and minimize any potential fraudulent activities. Firstly, I would like to provide you with the relevant details of the lost credit card: Cardholder's Name: [Your Name] Account Number: [Your Account Number] Card Type: [Visa/Mastercard/American Express/Discover] Credit Card Number: [Credit Card Number] Date of Loss: [Date of Loss] Last Date of Valid Use: [Last Date of Successful Transaction] CVV/CVC Number: [CVV/CVC Number] I kindly request you to immediately cancel the card with the above-mentioned details and issue a replacement card to my registered address. As per your mandate, I have already reviewed my recent transactions, and there appear to be no unauthorized charges so far. However, I request you to remain vigilant and monitor for any suspicious activity on my account. Please let me know if you require any further documentation or information to facilitate this process. I am available to provide any necessary assistance promptly. Additionally, please inform me if there are any costs associated with reissuing the replacement card. Alongside reporting the loss to your institution, I have also notified the local authorities regarding this incident. I have obtained a copy of the official police report, which I can provide upon request. I appreciate your prompt attention to this matter and your assistance in resolving this issue promptly. In case of any developments, updates, or concerns related to my credit card account, kindly communicate with me through the contact information provided above. Thank you for your cooperation, and I look forward to your swift action in securing my account and issuing a replacement credit card. Sincerely, [Your Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.