Direct Dispute Loan Form

Useful Horicon Bank Phone Numbers

Customer Service - 920.485.3040 or toll free 1.888.343.3040 (outside of Dodge County - both during business hours)

Telephone Banking - 920.485.3080 or toll free 1.888.714.4011

Internet Banking Help - 920.485.3040 (during business hours)

V-Flight Remote Deposit Help - 920.485.7338 (during business hours)

Fraud Hotline - 920.485.7307 (during business hours)

Lost or Stolen Cards
  Debit/ATM/HSA Card - 1.800.528.2273
  Credit Card - 1.800.558.3424
  Deluxe Gift Card - 1.800.255.9831

Horicon Bank will investigate a dispute made by a consumer when the dispute contains the following information:

  • Sufficient information to identify the account or other relationship that is in dispute, such as an account number and name, address, and telephone number of the consumer, if applicable;
  • The specific information that the consumer is disputing and an explanation of the basis for the dispute; and
  • All supporting documentation or other information reasonably required by the bank to substantiate the basis of the dispute. This documentation should include (as applicable):
    • a copy of the relevant portion of the consumer credit report that contains the allegedly inaccurate information (including the name of the credit reporting agency);
    • a police report;
    • a fraud or identity theft affidavit;
    • a court order;
    • account statements
    • cancelled checks
    • receipts verifying payments

Please fill out the online form below and submit.  If you prefer you may also fill out the form, print then mail or fax it.

For any further questions you may contact our Compliance Officer by calling 920.485.3040 or emailing directdispute@horiconbank.com.

Mail to:
Horicon Bank
Attn: Compliance Officer
326 E. Lake St.
PO Box 126
Horicon, WI 53032-012
Fax to:
920.485.3059

Credit Dispute Online Form
* Denotes Required Field

Consumer #1
Name (First, Last):*
 Telephone:
 Address:*
City:*
 State:*
 Zip:*
Email:

 Confirm Email:

Consumer #2
Name (First, Last):
 Telephone:
 Address:
City:
 State:
 Zip:
Email:

 Confirm Email:
Account Number (if known):
 Type of Account:*
Please specify the information you are disputing:*
Please specify what lead you to believe there was an error (eg. You were rejected for a credit card and the reason was a late payment):*
Select the information you will provide as documentation (Once you are contacted regarding your dispute you will be asked to submit all supporting documentation verifying your dispute):
account statements
cancelled checks
receipts verifying payments