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NOTIFICATION OF DISPUTED CHARGE MASTERCARD Member Name: Debit Card Number: TRANSACTION INFORMATION (If more than one charge is in dispute, please provide a list specifying the information below for
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How to fill out notification of disputed charge

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How to fill out a notification of disputed charge:

01
Gather all relevant information: Before filling out the notification, make sure you have all the necessary details about the disputed charge. This includes the date of the transaction, the amount charged, the merchant's name, and any supporting documentation such as receipts or emails.
02
Contact your financial institution: Reach out to your bank or credit card company to inform them about the disputed charge. They will provide you with the necessary forms or documentation required to file the notification.
03
Fill out the notification form: Carefully complete the notification form provided by your financial institution. Provide accurate and detailed information about the disputed charge, explaining why you believe it should be reversed or resolved.
04
Attach supporting documents: If you have any supporting documents that can strengthen your case, make sure to attach them with the notification form. These could include receipts, emails or correspondence with the merchant, or any other evidence that proves the charge was unauthorized, incorrect, or fraudulent.
05
Follow the instructions provided: Pay close attention to any instructions or guidelines provided by your financial institution while filling out the notification form. This ensures that you provide all the necessary information and meet any deadlines or requirements.

Who needs a notification of disputed charge?

01
Individuals who notice unauthorized transactions on their credit card or bank statements should file a notification of disputed charge. This could occur due to identity theft, fraudulent activity, or billing errors.
02
Customers who have experienced poor service or received faulty products from a merchant may also need to file a notification of disputed charge. In such cases, the customer may be seeking a refund or resolution for the unsatisfactory purchase.
03
Any individual who believes they have been wrongly charged or overcharged by a vendor can benefit from submitting a notification. This allows them to dispute and potentially correct any incorrect charges on their account.
Remember, it is crucial to act promptly when you notice a disputed charge on your account. Contact your financial institution as soon as possible, gather all supporting documentation, and carefully fill out the notification form to increase your chances of a successful resolution.
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It is a formal notification to a bank or credit card company that a charge on a credit card statement is being contested by the cardholder.
Any cardholder who believes that a charge on their credit card statement is incorrect or unauthorized.
To fill out a notification of disputed charge, the cardholder must contact their bank or credit card company and provide details about the disputed charge.
The purpose of a notification of disputed charge is to initiate an investigation by the bank or credit card company into the disputed charge.
The notification of disputed charge must include details such as the cardholder's name, account number, the date of the transaction, the amount in dispute, and the reason for the dispute.
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