
Get the free Cardholder Disputed Item Statement - Five County Credit Union
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CARDHOLDER DISPUTED ITEM(S) STATEMENT NAME HOME PHONE () ADDRESS WORK PHONE () EMAIL ADDRESS CARD NUMBER TYPE OF LOSS: Lost Stolen Card was in my possession at the time the transaction(s) occurred
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How to fill out cardholder disputed item statement

How to fill out cardholder disputed item statement
01
Gather all necessary information related to the disputed item, such as transaction details, dates, and amount.
02
Review your credit card statement and identify the specific disputed item(s).
03
Contact your credit card issuer's customer service department or visit their website to obtain the cardholder disputed item statement form.
04
Fill out the form accurately, providing all requested information including your name, account number, disputed item details, reasons for disputing, and supporting documentation.
05
Attach any relevant documents that support your claim, such as receipts, invoices, or correspondence with the merchant.
06
Double-check the completed form and attachments for accuracy and completeness.
07
Submit the filled-out form along with the supporting documentation to your credit card issuer either by mail or online through their designated portal.
08
Keep a copy of the completed form and supporting documents for your records.
09
Follow up with your credit card issuer to confirm receipt of your dispute and to inquire about the next steps in the process.
10
Stay in contact with your credit card issuer to provide any additional information or documentation they may request during the investigation of your dispute.
11
Review the outcome of the investigation provided by your credit card issuer and take appropriate action based on their decision.
Who needs cardholder disputed item statement?
01
Cardholders who believe they have been billed incorrectly for a purchase or encounter unauthorized transactions on their credit card statement typically need to fill out a cardholder disputed item statement. This statement allows them to formally dispute specific charges and provide supporting evidence to their credit card issuer for investigation and resolution.
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What is cardholder disputed item statement?
The cardholder disputed item statement is a form used by a cardholder to report any unauthorized or disputed transactions on their credit card.
Who is required to file cardholder disputed item statement?
The cardholder is required to file the cardholder disputed item statement.
How to fill out cardholder disputed item statement?
The cardholder needs to provide their personal information, details of the disputed transaction, and any supporting documentation.
What is the purpose of cardholder disputed item statement?
The purpose of the cardholder disputed item statement is to dispute unauthorized transactions and request a refund or chargeback.
What information must be reported on cardholder disputed item statement?
The cardholder must report details of the disputed transaction, including the date, amount, merchant, and reason for dispute.
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