If you are traveling abroad or plan to perform a foreign transaction and wish to use your debit card. Please complete following
form, sign and date it, and drop off at your local branch. All changes will be
available the next business day.
Name:
Address:
City:
State:
Zip code:
Phone # : () -
Card # :
Account # :
I, , am requesting my debit card be granted
foreign transaction authorization from (Country) until / / or permanently . I
understand that responsible for any fraudulent activities that may occur from this
Citizens Bank debit card security feature being changed or modified.
