Amex Local Laws or Regulations Questionnaire

Local Law or Reg Not Followed

Question	Property	Type	Values	Mandatory/Optional/Conditional	Notes
Are you disputing this charge because a law or regulation was not followed by the merchant?		Yes/No		Mandatory
Please describe.		Text		Mandatory if FailedLocalLaw = Yes

Resolve with Merchant

Question	Property	Type	Values	Mandatory/Optional/Conditional	Notes
Did you attempt to resolve with the merchant?	ResolveWithMerchantInd	Yes/No		Mandatory
Please explain:	ResolveWithMerchantExplanation	Text		Mandatory if ResolveWithMerchantInd="Yes/No"

Rule(s)

Additional Information

Question	Property	Type	Mandatory/Optional/Conditional	Notes
Do you have any additional information to provide about this dispute?	AdditionalInformationInd	Yes/No	Mandatory
If you have any documentation in support of your claim, please attach it now.	N/A	Attachment	Optional	Extension: Intake Attachment Prompt To prompt users to attach any available documentation during intake, set CanAttachIntakeDocs to true.
Please provide any additional information.	AdditionalInformation		Mandatory if AdditionalInformationInd= "Yes"

Rule(s)

Rule(s)

Amex_MerchantViolatedLawsOrRegs