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Cardholder Disputed Item Statement Credit Card Dispute Debit Card Dispute Member Account Number Name Card Number Address Home Phone () Work Phone () Email Address: Type of Loss: lost stolen card was
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The cardholder disputed item statement is a form used by a cardholder to report any unauthorized or disputed transactions on their credit or debit card.
Any cardholder who notices unauthorized or suspicious transactions on their card statement is required to file a cardholder disputed item statement.
To fill out the cardholder disputed item statement, the cardholder must provide details of the disputed transaction, including the date, amount, and any supporting documentation.
The purpose of the cardholder disputed item statement is to help the cardholder dispute unauthorized or incorrect charges on their card and potentially receive a refund.
The cardholder must report details of the disputed transaction, such as the date, amount, merchant name, and any other relevant information.
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