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

I authorized this balance transfer, but it is incorrect.

What was incorrect about the transaction?

The transaction posted for the incorrect amount.

Question	Type	Values	Mandatory/Optional/Conditional	Notes
What is the correct amount that should have been charged?	Freeform Text		Mandatory

What was incorrect about the transaction?

The transaction posted on the incorrect date.

Question	Type	Values	Mandatory/Optional/Conditional	Notes
What was the correct transaction date?	Date		Mandatory

What was incorrect about the transaction?

The transaction posted to the incorrect account.

Question	Type	Values	Mandatory/Optional/Conditional	Notes
What was the correct account number?	Freeform Text		Mandatory

What was incorrect about the transaction?

The transaction posted to the incorrect Financial Institution.

Question	Type	Values	Mandatory/Optional/Conditional	Notes
What was the correct Financial Institution?	Freeform Text		Mandatory

Non-fraud questions

Question	Type	Mandatory/Optional/Conditional	Notes
Please describe in detail the reason for your dispute.	Freeform Text	Mandatory
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?”

Balance Transfer Questionnaires

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