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Get Cardholder Dispute Form - HealthEquity

Cardholder Dispute Form Disputing a Transaction Complete this form if you wish to dispute a charge to your HealthEquity HSA Debit Card. This dispute must be received in writing, filled out completely,.

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  1. Open the document in our feature-rich online editing tool by clicking Get form.
  2. Fill in the required fields which are yellow-colored.
  3. Press the arrow with the inscription Next to move on from one field to another.
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  5. Add the date.
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