Application to block a lost ATM card
Use this to confirm in writing that your lost or stolen ATM or debit card should be blocked. Block it by phone or app first; give this letter to the branch afterwards.
Tap a yellow blank and type your own details. What you type stays in your browser only.
To
The Branch Manager,
[Bank Name],
[Branch Name]
Date: [Date]
Subject: Request to block my lost ATM / debit card
Respected Sir/Madam,
I hold a savings account, number [Account Number], in your branch. My ATM / debit card for this account was [lost/stolen] on [Date of Loss] at [Place of Loss].
I request you to block the card at once so that no one can misuse it. The last four digits of the card are [Last Four Digits]. I did not make any transaction after [Time of Last Transaction You Made].
Kindly also issue a new card for my account.
Thanking you,
Yours faithfully,
[Your Name]
Account No.: [Account Number]
Mobile: [Mobile Number]
Signature: ____________
Before you send it
- Speed matters more than paper. Call the bank's helpline or use the app to block the card the moment you notice the loss, then note the request number.
- Check your recent transactions. If you see one you did not make, report it to the bank in writing the same day.
- Write only the last four digits of the card. Never the full number or the PIN.
Common questions
Should I also tell the police?
For a stolen card or a wrong transaction, yes. A report helps your claim with the bank. For cyber fraud in India you can also report on the national cybercrime helpline 1930 or at cybercrime.gov.in.
This is a general format, written by us, to save you time. If the bank has its own printed form, use that form. Last checked: 11 November 2026.
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