Dwolla Contact Update Form

Please provide information for all of the following contact types.

At least two distinct individuals' contact information must be provided.

Primary/Emergency Contact: Primary point of contact for any critical or urgent communication Dwolla. They may be contacted alongside the contacts below.

Billing Contact: Primary contact for billing. Will receive invoices.

Information Security Contact: Primary contact for any information security questions or concerns.

Risk/Fraud Contact: Primary contact in the event of any risk or fraud concerns.

Customer Support Contact: Primary point person reaching out to Dwolla for any customer support needs.

Dwolla Contact Update Form

Please provide information for all of the following contact types.

At least two distinct individuals' contact information must be provided.

Primary/Emergency Contact: Primary point of contact for any critical or urgent communication Dwolla. They may be contacted alongside the contacts below.

Billing Contact: Primary contact for billing. Will receive invoices.

Information Security Contact: Primary contact for any information security questions or concerns.

Risk/Fraud Contact: Primary contact in the event of any risk or fraud concerns.

Customer Support Contact: Primary point person reaching out to Dwolla for any customer support needs.

Company Name

Submitter Name

Submitter Email Address

Submitter Title

Primary Contact- First Name

Primary point of contact for any critical or urgent communication Dwolla. They may be contacted alongside the contacts below.

Primary Contact- Last Name

Primary Contact- Email Address

Primary Contact- Phone Number

Billing Contact- First Name

Primary contact for billing. Will receive invoices.

Billing Contact- Last Name

Billing Contact- Email Address

Billing Contact- Phone Number

Additional Invoice Emails

Enter any additional email addresses you would like to receive invoices from Dwolla.

Security Contact- First Name

Primary contact for any information security questions or concerns.

Security Contact- Last Name

Security Contact- Email Address

Security Contact- Phone Number

Risk/Fraud Contact- First Name

Primary contact in the event of any risk or fraud concerns.

Risk/Fraud Contact- Last Name

Risk/Fraud Contact- Email Address

Risk/Fraud Contact- Phone Number

Customer Support Contact- First Name

Primary point person reaching out to Dwolla for any customer support needs. They will be provisioned access to Dwolla's support portal if they do not already have access.

Customer Support Contact- Last Name

Customer Support Contact- Email Address

Customer Support Contact- Phone Number

Additional Customer Support Contacts

You may provide additional Customer Support contacts here, all of which will be provisioned access to Dwolla's Customer Support portal.