Get Transaction Dispute Form - Ebs-rmsco, Inc

Filling out the Transaction Dispute Form is essential when you identify an issue with a transaction on your account. Completing this form correctly will help to ensure that your dispute is processed efficiently and leaves no room for delays.

Follow the steps to accurately complete your Transaction Dispute Form.

1. Select the ‘Get Form’ button to obtain the transaction dispute form and display it within your editing interface.
2. Fill in the cardholder name, ensuring it matches the name printed on the debit card.
3. Provide the cardholder mailing address, including city, state, and zip code, to ensure accurate correspondence.
4. Enter the cardholder's primary phone number to facilitate communication regarding the dispute.
5. Input the debit card number, a 16-digit number located on the front of your debit card.
6. Specify the date of the settled transaction, which is the date the transaction posted or settled to your account.
7. Indicate the total transaction amount for the disputed charge.
8. Include the merchant name where the transaction took place.
9. Select one reason for the dispute from the provided options and detail any necessary information, such as the amount disputed or reasons for the discrepancy.
10. Sign and date the form, confirming that all information provided is accurate.
11. Submit the completed form via fax or mail to Cardholder Services, ensuring to keep a copy of your submission for your records.

Start filling out your Transaction Dispute Form online today to resolve your transaction issues promptly.