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  • Certification of all of the following, as applicable:
    • The date the merchandise was returned or the service was cancelled
    • The name of the shipping company
    • The invoice/tracking number (if available)
    • The date the Merchant received the merchandise
    • Certification that the Merchant refused the return of merchandise, refused to provide a return merchandise authorization, or informed the Cardholder not to return the merchandise
    • That the Cardholder attempted to resolve the dispute with the Merchant
    • An explanation of what was not as described or defective
    • The date the Cardholder received the merchandise or services
  • Evidence from the Cardholder describing how the Merchant’s verbal and/or written representations do not match the terms of sale to which the Cardholder agreed
  • Copy of the Cardholder’s investment account showing the date, withdrawal amount, and available balance at the time the withdrawal request was made
  • For Disputes disputes involving ongoing negotiations, both:Certification of bothall of the following:
    • The date the Cardholder began negotiations with the Merchant
    • The date the Issuer was first notified of the dispute
    • Evidence of ongoing negotiations between the Cardholder and the Merchant to resolve the dispute
Info
title21.2 Mandate

As of 21.2, previous negotiation information is only required when the received date is greater than 120 days from today's date AND the transaction date is greater than 120 days from today's date.

Related Questionnaires

Visa Questionnaire - Merchandise or Service Terms of Sale