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    Dispute Form

    Uploaded by

    Jenifer
    The document is a form for cardholders to dispute transactions on their credit card statement. It requests information about the disputed transaction such as date and amount. The cardholder can then select a reason for disputing such as unauthorized charges or being charged more than once for a single purchase. The form requires a signature and notes that disputed transactions found to be valid may result in fees charged to the cardholder.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Dispute Form

    Uploaded by

    Jenifer
    7 views1 page
    The document is a form for cardholders to dispute transactions on their credit card statement. It requests information about the disputed transaction such as date and amount. The cardholder can then select a reason for disputing such as unauthorized charges or being charged more than once for a single purchase. The form requires a signature and notes that disputed transactions found to be valid may result in fees charged to the cardholder.

    Original Description:

    Credit card dispute form

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    The document is a form for cardholders to dispute transactions on their credit card statement. It requests information about the disputed transaction such as date and amount. The cardholder can then select a reason for disputing such as unauthorized charges or being charged more than once for a single purchase. The form requires a signature and notes that disputed transactions found to be valid may result in fees charged to the cardholder.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views1 page

    Dispute Form

    Uploaded by

    Jenifer
    The document is a form for cardholders to dispute transactions on their credit card statement. It requests information about the disputed transaction such as date and amount. The cardholder can then select a reason for disputing such as unauthorized charges or being charged more than once for a single purchase. The form requires a signature and notes that disputed transactions found to be valid may result in fees charged to the cardholder.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    CARDHOLDER’S STATEMENT OF DISPUTED ITEM

    Date : _________________________________________________________
    Cardholder’s Name : _________________________________________________________
    Compromised Card Number : _________________________________________________________

    Posting Date Transaction Date Merchant Name Billing Amount

    I have examined the transaction(s) above and dispute the item(s) based on the following reasons
    (Please check one)

    I certify that neither I nor anyone authorized by me participated in the above transaction(s) and that my
    card is in my possession at all times.

    I engaged in one transaction from the same merchant location, however, I was charged for more than one
    transaction that neither I nor anyone else authorized. I certify that my card was in my possession at the time
    of the transaction. (REQUIREMENT: SALES SLIP OF THE VALID TRANSACTION)

    Others please specify:

    REMARKS:

    I hereby declare that all information indicated above is true and that my dispute will only be processed upon
    completion of this form.

    SIGNATURE: __________________________________________
    (Owner of the card where the disputed transaction was posted)

    NOTE:
     Please send the accomplished dispute form to bpidispute@bpi.com.ph. You may also follow up by calling
    580-0496.
     If cardholder continues to dispute the transaction but transaction was subsequently proven to be valid,
    transaction amount plus the fees and other charges incurred by BPI as a result will be charged to the
    cardholder.
     Reported disputes can be accommodated within thirty (30) calendar days from the statement date indicated
    in the SOA.

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