Get 18006005249

Filling out the 18006005249 form accurately is essential for addressing chargeback service disputes or fraudulent activities. This guide provides step-by-step instructions to help users complete the form easily and correctly.

Follow the steps to fill out the 18006005249 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the institution name, phone number, and contact name in the designated fields. Include today’s date and fax number, if applicable.
3. Indicate the date when the cardholder reported the claim. If this field is left blank, the date will default to the date the fax is received.
4. Specify the total number of pages being faxed and the total number of fraud or dispute transactions.
5. Select one option regarding the claim type: whether it is a cardholder initiated dispute claim, fraud claim, or a request for sales slip.
6. Select and provide a reason for the dispute from the available options. If 'Other' is selected, please explain.
7. Input the card number on which the disputed transaction occurred and indicate the account status (open, closed, lost/stolen). Ensure the account is permanently blocked if initiating a fraud claim.
8. Provide the cardholder's name in the specified format (first name and last name).
9. Detail each disputed or fraudulent transaction by entering the transaction date, post date, amount, and merchant name.
10. If applicable, list additional disputed or fraudulent transactions by providing the card number and details for each transaction.
11. Complete the dispute information form by checking the statement that pertains to the case and providing requested details.
12. Provide any additional information requested for dispute types or a full description of interactions with the merchant in the designated space.
13. Complete the cardholder certification regarding fraudulent activity, confirming possession of the card at the time of the fraudulent transaction.
14. Sign and date the certification to validate the claim. Ensure to follow any notary requirements if indicated.
15. Review the form for accuracy. Once completed, users can save changes, download, print, or share the form as needed.

Complete your document online now to ensure prompt resolution of your chargeback or fraud claim.