NonCard Merchandise Services Questionnaire

"I authorized this purchase, but there is a problem and i need to dispute it."


Non-Card Merchandise/Services Dispute

Available as part of QFD Version 23.04

Question

Property

Type

Values

Mandatory/Optional/Conditional

Notes
Is this dispute in regards to merchandise or services not received? IsMerchandiseOrServicesNotReceivedY/NY/NMandatory
Please describe what was purchased and any additional details about the transaction that will help us investigate your dispute. AdditionalTransactionDetailsText
ConditionalMandatory if IsMerchandiseOrServicesNotReceived = "Y"
Were you tricked or persuaded into authorizing this purchase?TrickedOrPersuadedIntoAuthorizingY/NY/NMandatory
Is this dispute in regards to a scam? IsScamDisputeY/NY/NMandatory
Was the scam related to a disaster?IsScamRelatedToDisasterY/NY/NConditionalMandatory if IsScamDispute = "Y"
What entity did the scammer impersonate?EntityScammerImpersonatedText
ConditionalMandatory if IsScamDispute = "Y"
Were you contacted by anyone requesting a payment?WasContactedY/NY/NConditionalMandatory if IsScamDispute = "Y"
Who initiated contact for this purchase? WhoInitiatedContactChoice"Customer", "Merchant"ConditionalMandatory if IsScamDispute = "Y"
Please provide a detailed description of the scam. ScamDetailedDescriptionText
ConditionalMandatory if IsScamDispute = "Y"
Please provide a detailed description of your dispute. DisputeDetailedDescriptionText
Mandatory


Additional Information

Question

Property

Type

Values

Mandatory/Optional/Conditional

Notes
Do you have any additional information to provide about this dispute?AdditionalInformationIndYes/No
Mandatory
If you have any documentation in support of your claim, please attach it now.N/AAttachment
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)IncorrectZelle