When you make a purchase, the last thing you want to worry about is a dispute with the seller. Unfortunately, disputes happen occasionally. If you need to dispute a charge on your credit card, it's important to understand the process and complete the proper form. This blog post will walk you through the steps of disputing a charge on your credit card and provide a link to download the customer statement of dispute form.
Question | Answer |
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Form Name | Customer Statement Of Dispute Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | cabela's visa login, cabela's dispute form, cabela's club visa, cabela's club visa sign in |
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Customer Statement of Dispute |
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Date________________________ |
Note: Failure to provide adequate information may affect your dispute rights and processing time. Depending on the documentation required a dispute may take up to 60 days to process. Please be as complete and specific as possible.
Please use only one form for each charge disputed. (You may make copies of this form)
NAME__________________________________________________ |
ACCOUNT #______________________________________________ |
SIGNATURE_____________________________________________ |
EMAIL ADDRESS_________________________________________ |
REQUIRED |
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DATE OF CHARGE_______________________________________ |
MERCHANT NAME_______________________________________ |
AMOUNT OF CHARGE____________________________________ |
AMOUNT DISPUTED______________________________________ |
PHONE # (TO BE REACHED AT BETWEEN 7 AM AND 5:30 PM CT)___________________________________________________________
Please check and complete the information for the category that best applies. Additional information can be noted on the back of this form.
What was purchased? (Please be specific)____________________________________________________________________________________
Were you advised of Merchant’s cancellation or refund policy at the time of purchase? ___Yes* ___No *Please explain policy on back of this form.
Date of cancellation___________________________________ |
Who you spoke with ______________________________________________ |
Cancellation#________________________________________ |
Reason for cancellation_____________________________________________ |
Date Returned_______________________________________ |
Shipping Company & shipping/tracking #______________________________ |
Date attempted to resolve with merchant__________________ |
Who you spoke with _______________________________________________ |
Merchant’s response______________________________________________________________________________________________________
Quality of
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Date of cancellation___________________________________ |
Who you spoke with______________________________________________ |
Cancellation#________________________________________ |
Reason for cancellation____________________________________________ |
Date Returned_______________________________________ |
Shipping Company & shipping/tracking #_____________________________ |
Date attempted to resolve with merchant__________________ |
Who you spoke with _____________________________________________ |
Merchant’s response____________________________________________________________________________________________________
What was purchased? (please be specific)___________________________________________ |
Expected date of delivery_________________ |
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Date attempted to resolve with merchant__________________ |
Who you spoke with_______________________________________________ |
Merchant’s response_____________________________________________________________________________________________________
Transaction Errors
___I have been billed more than once for the same purchase. The original charge posted on __________________________________________
___Incorrect amount posted to my account.
Enclosed is a copy of my receipt for $_____________, but the charge posted to my account as $______________.
Unauthorized Charge *SIGNATURE ABOVE IS REQUIRED*
I did not authorize or participate in this transaction.
as lost or stolen upon return of this dispute form.
I understand that by stating the charge is unauthorized that this account will be closed and reported A new account may be issued at the discretion of World’s Foremost Bank.
Charge Not Recognized
I do not recognize the transaction and require additional information to enable me to successfully identify the transaction or merchant. I attempted to identify the charge with the merchant on (date). ___________________
WFB Visa Center * Attn: Customer Service/Disputes * PO Box 82608 * Lincoln, NE |
Revised Feb 10! |
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WFB Visa Center * Attn: Customer Service/Disputes * PO Box 82608 * Lincoln, NE |
Revised Feb 10 |