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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 complete a separate form for each item.) Merchant

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How to fill out notification of disputed charge

01

Gather all relevant information related to the disputed charge such as the date of the transaction, the merchant name, and the amount.

02

Contact your bank or credit card issuer to inform them about the disputed charge and request a notification form.

03

Fill out the notification form accurately, providing details of the disputed charge and any supporting documents such as receipts or statements.

04

Submit the completed notification form to your bank or credit card issuer within the specified timeframe.

05

Follow up with your bank or credit card issuer to ensure that the dispute process is being handled properly and to track the status of your claim.

Who needs notification of disputed charge?

01

Anyone who has identified an unauthorized or incorrect charge on their credit card or bank statement.

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What is notification of disputed charge?

Notification of disputed charge is a formal notice submitted to a financial institution or credit card company to dispute a charge on an account.

Who is required to file notification of disputed charge?

Any account holder who wishes to dispute a charge on their account is required to file a notification of disputed charge.

How to fill out notification of disputed charge?

To fill out a notification of disputed charge, the account holder must provide their name, account number, details of the disputed charge, and any supporting documentation.

What is the purpose of notification of disputed charge?

The purpose of notification of disputed charge is to inform the financial institution or credit card company of a disputed charge on an account and request an investigation into the matter.

What information must be reported on notification of disputed charge?

The notification of disputed charge must include the account holder's name, account number, details of the disputed charge, and any supporting documentation such as receipts or transaction records.

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