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The statement of dispute is sent in certain non-fraud disputes where specific documentation is required to support the claim. It is typically included with the confirmation letter as an

attachment/

enclosure

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but can also be sent manually from the Communication Hub. When it is sent manually, it will include a cover letter.

Cover Letter Content

<Manual Header>

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<Transaction Grid>

To expedite processing of your claim, please complete, sign and return the attached affidavit to the address below within 7 days.

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<Print Footer>

Cover Letter Sample

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Applicable claim reasons: Merchandise or services not received, Cash not received at ATM, Credit not processed, Paid for by other means, Transaction value not loaded.

Applies To

Card

Category

Enclosure

Letter Preview

View file
nameStatement Of Dispute (2).pdf

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Sample

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To expedite processing of your dispute, please complete, sign and return the attached

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Statement of Dispute to the address below within 7 days.

Quavo Financial Services
Attention: Card Operations
P.O. Box 12345
East Lansing, MI 48820-1234

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Sample

STATEMENT OF DISPUTE

RE: Case

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2407030001C for account ending in

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1234

I,

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Mr. Steve Rogers, hereby dispute the transaction(s) listed below for the following reason:

Merchandise or services not received.

I was charged for the transaction listed, but I have not received the merchandise or service. I expected to receive _____________________________________________________ from the merchant on __/_/_. I contacted the merchant on ___/_/__, and their response was ______________________________________________________________________________________________________________________________________.

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Please provide any additional information you believe may be helpful in our investigation (you may attach additional pages, if needed):

________________________________________________________________________________________________________________________________________________

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___________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________

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Credit not processed.
I was promised a credit for the transaction listed and it has not been processed. Attached is a copy of the credit transaction receipt or voided transaction receipt.

Paid for by other means.
Attached is a copy of the front and back of the canceled check/cash receipt/money order/bank statement or proof of other payment by other means.

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_______________________

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I certify that, to the best of my knowledge and belief, all the information on this

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statement is true, correct, complete and made in good faith.

Signature: _________________________________________________ Date: ___________________

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Referenced From

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