Transaction Dispute Form / Written Statement of Unauthorized Debit. Please complete and print this form if you are disputing a charge from a merchant that has posted to your card. Please include a copy of all supporting documentation such as transaction receipts and correspondence with the merchant. Email this form and any additional documents to

This form must be completed and submitted as soon as a suspected fraudulent card transaction is identified. Transaction Dispute forms must be received within 120 calendar days from original transaction(s) date.

2024年11月8日 · I am writing to dispute a charge of [$_____] to my [credit or debit card] account on [date of the charge]. The charge is in error because [explain the problem briefly. For example, “the items weren’t delivered,” “I was overcharged,” “I …

Please complete all sections of the form (as applicable). If you have not done so already, you may also call us (see the back of your card OR the ‘Contact Us’ section on our website for our Customer Support phone number) during business hours to file your dispute directly with us.

atm/debit card dispute form Complete this form to report (a) the unauthorized use of your ATM/debit card, (b) a point-of-sale (POS) transaction error or dispute, or (c) an incorrect disbursement of cash by an ATM.

contacting the merchant directly to assist in resolving your dispute. Check reason for dispute. If needed, include any relevant documents such as receipts or shipping confirmations.

Please complete and print this form if you are disputing a charge from a merchant that has posted to your account. Please include a copy of all supporting documentation such as transaction receipts and

Request you to resolve the dispute. I have neither authorized nor participated in the above transaction(s). The card was in my possession at all times. I authorize SBI Card to block my credit card as per the Visa / Mastercard / RuPay / Amex norms.

Upon receipt of your Dispute form, Citibank will begin investigation of the dispute and will provide you with confirmation or status of your disputed transaction via Email, Telephone, Letter or Billing Statement adjustment within a maximum of 30 business days.

If you believe that a transaction(s) on your account is in error or unauthorized, you can use this form to dispute the transaction(s) in question. Please complete this form and provide any supporting documentation you may have to help facilitate our investigation.