Please ll out the information below and submit the completed form to notify U.S. Bank for card closure if:
• You received an unemployment benets payment in your name (or someone else’s name) to a U.S. Bank ReliaCard
and you did NOT le for Unemployment Benets with your State this year.
• You believe you are a victim of identity theft related to Unemployment Benets.
Submit the completed form to ReliaCardFIU@usbank.com. Any information, such as phone number and email
address, provided to U.S. Bank this way will be utilized for purposes of fraud investigation only.
We encourage you, if you have not already, to contact the State who paid the Unemployment Benets to inform them
your information was used without permission to le for Unemployment Benets.
You may also consider placing a fraud alert in your name with the consumer credit bureaus. It is free to place and
remove the alerts. After contacting one, you don’t have to contact the others. Here’s the contact information for the
three largest credit bureaus:
• Equifax: 800.525.6285 or equifax.com
• Experian: 888.397.3742 or experian.com
• TransUnion: 800.680.7289 or transunion.com
*Please note this inbox is to report Unemployment Benet payments to a U.S. Bank ReliaCard you did NOT le for.
For all other inquiries, please login to your cardholder account through usbankreliacard.com or the U.S. Bank
ReliaCard Mobile App.
Name on card received:
Name (if different than printed on card):
Address card was mailed to:
City: State: Zip Code:
Phone number:
Email address:
I’m lling this form on behalf of: Self Spouse Other
For which State Unemployment Benets program did you receive your ReliaCard?
The U.S. Bank ReliaCard
®
The ReliaCard is issued by U.S. Bank National Association pursuant to a license from Visa U.S.A. Inc. or Mastercard
International Incorporated. Mastercard is a registered trademark and the circles design is a trademark of Mastercard
International Incorporated. © 2020 U.S. Bank. Member FDIC.
