Claim form | National Bank

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The processing of your personal information will be carried out in accordance with the Privacy Policy, available at nbc.ca. The collected personal information will be used primarily to establish your identity and determine eligibility for reimbursement of incurred expenses.

Once this request is completed, your personal information may be retained for a reasonable period for compliance and fraud prevention purposes.

Identification

First name

Last name

Phone number

Name of the employer / Name of the supplier

Financial information

Please provide the number of the bank account impacted by the technical issues.

Where can I find my banking information, i.e. my account, transit, and institution numbers? | NBDB

Transit number

Institution number

Account number

Amount of bank fees to be reimbursed

Bank fees numéric box

National Bank reserves the right to request supportive documentation prior to refunding those fees directly to the bank account. This could take up to 20 business days.

Profession

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${clientFirstName} ${clientLastName}, your request has been sent.

Thank you for your trust

You will receive an email at : ${clientEmailAddress}

Technical Issue

Sorry, a technical issue is stopping us from completing your request.

Please try again later.