Amex Merchandise or Service Not Received Questionnaire

"I have not received the merchandise or services that I purchased."

Merchandise or Services

Question

Property

Type

Values

Mandatory/Optional/Conditional

Notes

What was not received?WhatWasNotReceivedRadial

Merchandise,

Service,

Cash

MandatoryCash is only visible based on being MCC 6011 or 6540



Dispute Amount

Question

Property

Type

Values

Mandatory/Optional/Conditional

Notes

Are you disputing the full amount of the transaction?DisputingFullAmountYes/No
Mandatory

What amount are you disputing?

DifferentDisputeAmountText
Mandatory if DisputingFullAmount="No"


Merchandise Not Received Details

Question

Property

Type

Values

Mandatory/Optional/Conditional

Notes

Please provide a detailed description of what was purchased and an explanation of the dispute.

MerchandiseDescriptionText
Mandatory if WhatWasNotReceived = "Merchandise"


Expected Receipt Date

Question

Property

Type

Values

Mandatory/Optional/Conditional

Notes

Is the expected receipt date for the merchandise or services known?ExpectedReceiveDateIndYes/No
Mandatory
When was the merchandise/services expected to be received?ExpectedReceiveDateDate
Mandatory if ExpectedReceiveDateInd="Yes"
Has it been confirmed that the merchant will not provide the merchandise/services? (ie. Merchant is no longer in business)ConfirmedNotProvidedIndYes/No
Mandatory
Please ExplainConfirmedNotProvidedDescriptionText
Mandatory if ConfirmedNotProvidedInd="Yes"
What date did you learn the merchandise/services would not be received?ConfirmedNotProvidedDateDate
Mandatory if ConfirmedNotProvidedInd="Yes"


Service Not Received Details

Question

Property

Type

Values

Mandatory/Optional/Conditional

Notes

Please provide a detailed description of what was purchased and an explanation of the dispute.

ServiceDescriptionText
Mandatory if WhatWasNotReceived = "Service"


Expected Receipt Date

Question

Property

Type

Values

Mandatory/Optional/Conditional

Notes

Is the expected receipt date for the merchandise or services known?ExpectedReceiveDateIndYes/No
Mandatory
When was the merchandise/services expected to be received?ExpectedReceiveDateDate
Mandatory if ExpectedReceiveDateInd="Yes"
Has it been confirmed that the merchant will not provide the merchandise/services? (ie. Merchant is no longer in business)ConfirmedNotProvidedIndYes/No
Mandatory
Please ExplainConfirmedNotProvidedDescriptionText
Mandatory if ConfirmedNotProvidedInd="Yes"
What date did you learn the merchandise/services would not be received?ConfirmedNotProvidedDateDate
Mandatory if ConfirmedNotProvidedInd="Yes"


Cash Not Received Details

Question

Property

Type

Values

Mandatory/Optional/Conditional

Notes

Is the dispute regrading a pre-paid gift card where funds were not loaded to the card?

PrePaidGiftCardIndYes/No
Mandatory if WhatWasNotReceived = "Cash"Only Visible/mandatory for 6540 MCC
What amount was loaded to the gift card?PrePaidLoadAmountCurrency
Mandatory if PrePaidGiftCardInd = "Yes"Dispute Amount will be set transaction amount - load amount.
Is the dispute regarding partially received cash at an ATM?ATMParIndYes/No
Mandatory if PrePaidGiftCardInd = "No"Only visible/mandatory for 6011 MCC
How much money did the ATM dispense? ATMDispensedAmount

Mandatory if ATMParInd = "Yes"Dispute Amount will be set transaction amount - dispensed amount.

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