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Fax this form and any additional documents to 866 963-6224. If you do not have access to a fax please mail all forms and any additional information in one envelope to Green Dot Corp. Transaction Dispute P. Transaction Dispute Form / Written Statement of Unauthorized Debit Please complete and print this f orm if you are disputing a charge f rom a merchant that has posted to your card. Please include a copy of all supporting documentation such as transaction receipts and correspondence with the...
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Who needs a Transaction dispute form?

This form is completed by the individuals who want to dispute a charge from a merchant that has billed their card.

What is the purpose of the Transaction dispute form?

In this form the individual provides information about the disputed money transactions and asks for a full refund. It is filed if the buyer is not satisfied with the quality of the goods, services, or things of value that were bought by non-cash payment, or he didn’t receive the expected articles. It may also happen that the individual didn’t authorize the transaction at all and a certain amount of money has been withdrawn from the card by mistake. If the articles purchased were not as described, the buyer should return the merchandise and later, the money can be transferred.

What documents must accompany the Transaction dispute form?

The Transaction dispute form is accompanied by transaction receipts, correspondence with the merchant, proof of the merchandise return, a tracking number, and other documents supporting the claim.

When is the Transaction dispute form due?

This form is completed when there is a need -- there are no strict instructions as for the terms. The estimated time for filling out the form is 20 minutes.

What information should be provided in the Transaction dispute form?

The claimant should add the following information:

  • Personal data of the cardholder (name, card number, phone number, mailing address)
  • Transaction information (transaction amount; date of transaction; merchant’s name)
  • Dispute reason (choose one of the variants or provide your own reason)
  • Claim number (if the dispute has been already submitted over the phone)

The form should also be certified by the cardholder and dated.

What do I do with the form after has been completed?

The completed and signed Transaction dispute form is faxed to (866) 963-6224 or mailed to Green Dot Corp. Transaction Dispute, Monrovia, CA.

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People Also Ask about green dot dispute email address

We work hard to settle disputes as soon as possible, typically within 45 days. The investigation's length can be impacted by a number of factors, such as the type of transaction, the merchant involved, etc.
A Green Dot Card is a re-loadable debit card. Police warn these unsolicited cards are "very real." ing to police, someone had to supply your name, address and Social Security Number in order to obtain this "permanent" card, and thereby committed an identity theft.
To get your balance, text “BAL Last4″ to 43411 (where Last4 is the last 4 digits of your card number). To check your transactions, text “HIST Last 4” to 43411 (where Last4 is the last 4 digits of your card number).
After submitting the fraud claim, you will receive an email requesting an image of the MoneyPak receipt. Please provide the receipt image as quickly as possible. We cannot process claims without the receipt image. If the funds are still available on the MoneyPak, we will issue a refund check.
If your MoneyPak has not been used, you can submit a refund request by filling out a the MoneyPak refund request form. Refund checks typically arrive in the mail 7 - 14 days after your refund request is submitted.

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