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Is the issue you are reporting related to a transaction made with your card?

No

View file
nameBarcode Questionnaires.pdf

Orah tabs page
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tabsPageTitleUnauthorized
primaryTabtrue
colorPalettesDefault
color#0052CC
idxzpo5sojl5c

Which of the following would you like to report?

I did not authorize a debit or credit to my account.

Question

Type

Values

Mandatory/Optional/Conditional

Notes

Do you always have possession of your mobile device?

Yes/No

Mandatory

Where is the device usually kept?

Freeform Text

Conditional

When “Yes” to “Do you always have possession of your mobile device?”

In what circumstances do you not have the device in your possession?

Freeform Text

Conditional

Follows “Where is the device usually kept?”

Is there someone you suspect did this?

Yes/No

Mandatory

Please provide any suspect information

Freeform Text

Suspect Name

Address

Relationship

DOB

Additional Details

Optional

When “Yes” to “Is there someone you suspect did this?”

Was there more than one suspect?

Yes/No

Optional

Follows “Please provide any suspect information”

Please provide any additional suspect details.

Freeform Text

Optional

When “Yes” to “Was there more than one suspect?”

Do you have any additional information to provide about this dispute?

Yes/No

Mandatory

Please provide any additional information.

Freeform Text

Conditional

When “Yes” to “Do you have any additional information to provide about this dispute?”

Orah tabs page
indexInGroup2
tabsPageTitleIncorrect
colorPalettesDefault
color#0052CC
idp2gt7bsik7f

Which of the following would you like to report?

I authorized a transaction, but it is incorrect.

Question

Type

Values

Mandatory/Optional/Conditional

Notes

Did you receive more funds than the posted amount?

Yes/No

Mandatory

This will result in a debit to the account.

Conditional

When “Yes” to “This will result in a debit to the account.”

How much money did you receive?

Freeform Text

Mandatory

Do you have any additional information to provide about this dispute?

Yes/No

Mandatory

Please provide any additional information.

Freeform Text

Conditional

When “Yes” to “Do you have any additional information that should be provided to the merchant regarding your dispute?”

Orah tabs page
indexInGroup3
tabsPageTitleMissing Deposit
colorPalettesDefault
color#0052CC
id4hphn8503bn

Which of the following would you like to report?

I’m expecting a credit, but it is missing.

Tell us the reason behind this dispute.

I am missing a Barcode deposit.

Question

Type

Values

Mandatory/Optional/Conditional

Notes

What was the date of the deposit?

Date

Mandatory

What is the total amount of cash missing from your deposit?

Freeform Text

Mandatory

Please provide the location where your deposit was made.

Freeform Text

Crossroads

Street Address*

Street Address #2

City*

State*

Zip*

Mandatory

Do you have a receipt?

Yes/No

Mandatory

Do you have any additional information to provide about this dispute?

Yes/No

Mandatory

Please provide any additional information.

Freeform Text

Conditional

When “Yes” to “Do you have any additional information to provide about this dispute?”

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