Loading
             
                Get Fraudulent Transaction Dispute Form
How it works
- 
                    Open form follow the instructions
- 
                    Easily sign the form with your finger
- 
                    Send filled & signed form or save
How to fill out the Fraudulent Transaction Dispute Form online
This guide provides a clear and comprehensive walkthrough for completing the Fraudulent Transaction Dispute Form online. Whether you are addressing a lost or unauthorized transaction, this instructional content aims to assist users in every step of the process.
Follow the steps to fill out your dispute form effectively.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- Begin by entering your name in the designated field. Ensure that you use your full legal name as it appears on your card documents.
- Input your Visa card number accurately in the corresponding field. Double-check for any errors, as this will help avoid processing delays.
- Indicate the status of your Visa card by selecting one of the options: lost, stolen, card not received, counterfeit, or if the card is still in your possession. You may select only one option.
- Provide details for each unauthorized transaction. Begin with the first instance, enter the date of transaction, the amount in dollars, and the name of the merchant. Repeat this process for up to 75 transactions.
- If you identify any additional fraudulent charges after you have filled out this form, check the box that authorizes your bank to include those transactions as well.
- Sign the form in the designated area. This signature certifies that you did not authorize the listed transactions.
- Record the date of signing in the provided field to complete your submission.
- After reviewing all entered information for accuracy, you can save your changes, download a copy, print it, or share the form as necessary.
Complete your Fraudulent Transaction Dispute Form online today to ensure your report is processed promptly.
To get reimbursed for fraudulent transactions, start by reporting the issue to your bank or credit card company. They often have policies to protect unauthorized transactions and may initiate a chargeback. Additionally, using our Fraudulent Transaction Dispute Form can help ensure that you provide all necessary details for your reimbursement request.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
        - 
                    In businnes since 199725+ years providing professional legal documents.
- 
                    Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
- 
                    Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.