Get Green Dot Corporation Transaction Dispute Form/written Statement Of Unauthorized Debit 2019-2025

Filling out the Green Dot Corporation Transaction Dispute Form can be a straightforward process if you follow the provided guidance. This guide aims to assist you in accurately completing the form to dispute unauthorized transactions, ensuring all necessary information is included for effective processing.

Follow the steps to accurately complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. In Section A - Cardholder Information, provide your full name, the name of a second cardholder if applicable, the last four digits of your card number, and your preferred phone number. Make sure to include your mailing address and email address as well.
3. Move to Section B - Transaction Information. Here, input details for each disputed transaction. You can dispute up to five transactions in this section. For each transaction, specify the transaction number, amount, date, and the merchant's name.
4. Proceed to Section C - Dispute Reason. Review the statements carefully and enter the relevant transaction numbers from Section B that correspond to your reason for disputing each transaction. If necessary, provide additional explanations based on the provided categories.
5. If you have a claim number from a previous phone submission, include it in Section D - Claim Number. If this does not apply, you can leave this section blank.
6. Finally, complete Section E - Cardholder Signature by signing and dating the form. Ensure you attest that the information provided is true.
7. Once the form is fully completed, save your changes. You can choose to download, print, or share the form as needed.

Complete your dispute form online today for a quicker resolution.