Edit, Download, and Sign the Transaction Dispute Form Instructions and Guide
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How do I fill this out?
To fill out the Transaction Dispute Form, ensure you complete all required fields accurately. Make sure to provide your contact details for any clarifications. After filling out the form, remember to sign and date it before submission.

How to fill out the Transaction Dispute Form Instructions and Guide?
1
Complete all required fields in the form.
2
Sign and date the form.
3
Submit the form to Cardholder Services by fax or mail.
4
Ensure to include any necessary documentation.
5
Keep a copy of your submission for your records.
Who needs the Transaction Dispute Form Instructions and Guide?
1
Individuals who notice unauthorized transactions on their bank statements.
2
Cardholders who want to dispute a charge they believe is incorrect.
3
Customers who have encountered billing errors from merchants.
4
Users with canceled services that were still charged.
5
Anyone who suspects fraud and needs to report it.
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1
Upload the Transaction Dispute Form to PrintFriendly.
2
Click on the edit button to access the editing tools.
3
Make the necessary alterations or fill in the fields.
4
Review your changes for accuracy.
5
Download the edited document once you're done.

What are the instructions for submitting this form?
To submit the Transaction Dispute Form, fax it to Cardholder Services at (954) 377-0072 or mail it to P.O. Box 7235, Sioux Falls, SD 57117-7235. For faster processing, opt for registered mail and retain your receipt as proof of submission. Ensuring your form is filled out correctly increases the likelihood of a timely resolution.
What are the important dates for this form in 2024 and 2025?
For disputes, ensure you submit claims within 90 days of the transaction date. Key dates in 2024 include January 1 for New Year's Day wherein banking might be affected, and December 25 for Christmas. For 2025, similar dates apply.

What is the purpose of this form?
The Transaction Dispute Form serves a crucial role in helping cardholders assert their rights against unauthorized charges. By filling out this form, consumers can formally document their disputes and initiate the resolution process with their card issuer. It is an essential tool for protecting consumers from fraud and erroneous billing.

Tell me about this form and its components and fields line-by-line.

- 1. Cardholder Name: The name as it appears on the card.
- 2. Mailing Address: The current address of the cardholder.
- 3. Cardholder Phone Number: Primary contact number for the cardholder.
- 4. Transaction Details: Including card number, transaction date, amount, and merchant.
- 5. Dispute Reason: The specific reason for disputing the transaction.
- 6. Signature: Requires the cardholder's signature to validate the form.
What happens if I fail to submit this form?
Failure to submit the Transaction Dispute Form can result in losing your rights to dispute the transaction. It may lead to unjust financial liability for unauthorized charges. Timely submission is essential to ensure proper processing of your dispute.
- Lost Dispute Rights: Not submitting the form on time could mean losing the chance to recover funds.
- Additional Charges: Failure to address disputes may lead to additional unauthorized charges.
- Credit Impact: Unresolved disputes might affect your credit rating and account status.
How do I know when to use this form?

- 1. Unauthorized Charge: When you see a charge you did not authorize.
- 2. Billing Error: If you believe there is an error in the transaction amount.
- 3. Disputed Charges: Any charge for goods or services that you did not receive.
Frequently Asked Questions
How can I fill out the Transaction Dispute Form?
Simply access the PDF, fill in required fields, and make sure everything is accurate before submission.
What to do if I notice an unauthorized transaction?
Fill out the form immediately and submit it to Cardholder Services within 90 days.
Can I edit the PDF directly on PrintFriendly?
Yes, you can upload your PDF and make edits before downloading.
What happens after I submit my dispute?
You will receive a provisional credit and may be contacted for further documentation.
How do I sign the PDF?
You can insert your signature directly onto the PDF in our editing tool.
Can I share the PDF after editing?
Absolutely, you can easily share the edited PDF with others.
What if I have questions while filling out the form?
Contact the number on the back of your card for assistance.
How can I ensure my dispute is processed quickly?
Fill out all required fields completely and submit your form promptly.
Is there any fee to submit this form?
No, submitting the Transaction Dispute Form is typically free.
Can I submit additional documentation with my form?
Yes, you can attach any relevant documents that support your dispute.
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