Form preview

Get the free Cardholder Disputed Transaction Statement & Affidavit of Fraud

Get Form
FRAUD CARDHOLDER DISPUTE FORM (Please use the Affidavit of Fraud form for fraud claims!)DEBIT CARD DISPUTE *You must make an attempt to contact the merchant first. Gather information of whom you contacted,
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign cardholder disputed transaction statement

Edit
Edit your cardholder disputed transaction statement form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your cardholder disputed transaction statement form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing cardholder disputed transaction statement online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the professional PDF editor, follow these steps:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit cardholder disputed transaction statement. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
The use of pdfFiller makes dealing with documents straightforward. Try it right now!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out cardholder disputed transaction statement

Illustration

How to fill out cardholder disputed transaction statement

01
To fill out a cardholder disputed transaction statement, follow these steps:
02
Start by providing your personal details such as your name, address, and contact information.
03
Next, provide the details of the disputed transaction including the date, amount, and merchant name.
04
Clearly state the reason for disputing the transaction, providing any supporting evidence such as receipts or documentation.
05
Sign and date the statement to validate it.
06
Submit the completed statement to your credit card company or the financial institution that issued your card.
07
Keep a copy of the statement for your records.
08
Follow up with your credit card company or financial institution to track the progress of the dispute.

Who needs cardholder disputed transaction statement?

01
Cardholders who have identified unauthorized or fraudulent transactions on their credit cards may need to fill out a cardholder disputed transaction statement.
02
It is also required by cardholders who wish to dispute a charge due to a merchant error or a dispute over the quality of goods or services received.
03
In general, anyone who believes there is an error or discrepancy with a transaction on their credit card statement may need to complete a cardholder disputed transaction statement.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.9
Satisfied
26 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Filling out and eSigning cardholder disputed transaction statement is now simple. The solution allows you to change and reorganize PDF text, add fillable fields, and eSign the document. Start a free trial of pdfFiller, the best document editing solution.
The best way to make changes to documents on a mobile device is to use pdfFiller's apps for iOS and Android. You may get them from the Apple Store and Google Play. Learn more about the apps here. To start editing cardholder disputed transaction statement, you need to install and log in to the app.
Use the pdfFiller mobile app to complete your cardholder disputed transaction statement on an Android device. The application makes it possible to perform all needed document management manipulations, like adding, editing, and removing text, signing, annotating, and more. All you need is your smartphone and an internet connection.
The cardholder disputed transaction statement is a document where cardholders can report any unauthorized or disputed transactions on their credit or debit card.
Cardholders who notice any unauthorized or disputed transactions on their credit or debit card are required to file a cardholder disputed transaction statement.
Cardholders can fill out a cardholder disputed transaction statement by providing details of the disputed transaction, including date, amount, merchant, and reason for dispute.
The purpose of the cardholder disputed transaction statement is to allow cardholders to dispute any unauthorized transactions and request for a refund or investigation from the card issuer.
Cardholders must report details of the disputed transaction such as date, amount, merchant, reason for dispute, and any supporting documentation.
Fill out your cardholder disputed transaction statement online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.