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Cancelled Recurring | Visa

Which of the following would you like to report?

I participated in this transaction, but there is a problem.

 

Which of the following best describes the reason for your dispute?

I have an issue with a recurring transaction on my account.

 

 

Question

Type

Values

Mandatory/Optional/Conditional

Notes

Question

Type

Values

Mandatory/Optional/Conditional

Notes

When did you cancel the recurring transaction?

Date

 

Mandatory

 

Why did you cancel?

Freeform Text

 

Mandatory

 

How did you contact the merchant to cancel?

Single Select

Call Center/SMS/Text Message

Email

Mail

In-Person

Application Name

Mandatory

 

Which did you use to contact the merchant?

Single Select

Call Center

SMS/Text Message

Both

Conditional

When “Call Center/SMS/Text Message” is selected under “How did you contact the merchant to cancel?”

Please provide the number you contacted.

Freeform Text

 

Conditional

Follows “Which did you use to contact the merchant?”

Please provide the email address you contacted.

Freeform Text

 

Conditional

When “Email” is selected under “How did you contact the merchant to cancel?”

Please provide the mailing address you contacted.

Freeform Text

 

Conditional

When “Mail” is selected under “How did you contact the merchant to cancel?”

Please provide the physical address you contacted.

Freeform Text

 

Conditional

When “In-Person” is selected under “How did you contact the merchant to cancel?”

Please provide the Application Name you used to cancel.

Freeform Text

 

Conditional

When “Application Name” is selected under “How did you contact the merchant to cancel?”

Was another form of payment provided for this transaction?

Yes/No

 

Mandatory

 

Please describe the other form of payment.

Freeform Text

 

Conditional

When “Yes” to “Was another form of payment provided for this transaction?”

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

Yes/No

 

Mandatory

 

Please provide any additional information. This will be provided to the merchant.

Freeform Text

 

Conditional

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

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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