Transaction Dispute Form – CSI globalVCard

[mk_page_section bg_image=”https://www.csiglobalvcard.com/wp-content/uploads/Header-Whitepapers.jpg” bg_position=”center center” bg_stretch=”true” enable_3d=”true” min_height=”300″ padding_top=”0″ padding_bottom=”0″ sidebar=”sidebar-1″][vc_column][mk_padding_divider size=”125″ visibility=”hidden-sm”][mk_padding_divider size=”50″ visibility=”visible-sm”][vc_row_inner is_fullwidth_content=”false”][vc_column_inner][mk_image src=”https://www.csiglobalvcard.com/wp-content/uploads/Icon-calculator.png” image_size=”full” align=”center” margin_bottom=”0″][mk_fancy_title tag_name=”h1″ color=”#ffffff” size=”60″ force_font_size=”true” size_smallscreen=”48″ size_tablet=”38″ size_phone=”34″ font_weight=”bold” font_style=”normal” margin_bottom=”0″ font_family=”none” align=”center”]Transaction Dispute Form[/mk_fancy_title][/vc_column_inner][/vc_row_inner][mk_padding_divider size=”25″][/vc_column][/mk_page_section][vc_row][vc_column][mk_padding_divider size=”60″][/vc_column][/vc_row][vc_row][vc_column][vc_column_text title=”Instructions:” disable_pattern=”false”]Please submit a Transaction Dispute Form for each transaction that is being disputed. Transaction disputes must be submitted and received by the globalVCard® Risk Management Department within 60 calendar days from the date on the company’s account statement. Note: If you are attaching documentation that contains sensitive, non-public information, be advised that transmitting information via this method is not a secure means of communication, so do not attach documentation that includes sensitive information such as full credit card numbers, social security numbers, bank account details, etc.[/vc_column_text]

Company Name*
Account Code*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Name*
First Last
Contact Phone*
Email
Please identify the transaction that is being disputed and be sure to include any supporting documentation. Refer to your account statement for the following information:
Last 4 digits of card number*
Posted Date*
Disputed Amount*
Merchant Name*
Merchant Contact Number
Merchant Email
Do you believe the card information associated to the transaction in dispute was compromised?*
- Yes
- No
Dispute Details
Common Dispute Reasons & Documentation Guidelines can be viewed here.
Please select the statement that best describe the nature of the dispute.*
If other please describe the nature of the dispute.
Drop files here or
By checking this box. I certify that the information I provided is accurate to the best of my knowledge.*
- Yes
Name
This field is for validation purposes and should be left unchanged.

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Please identify the transaction that is being disputed and be sure to include any supporting documentation. Refer to your account statement for the following information:

Dispute Details

Common Dispute Reasons & Documentation Guidelines can be viewed here.