In today's interconnected financial world, managing credit card disputes effectively is crucial for safeguarding consumer rights. The HSBC Cardholder Dispute Form serves as an essential tool for HSBC credit card users who find discrepancies or unauthorized transactions on their statements. It is specifically designed to streamline the process of contesting such charges, in adherence to the guidelines set forth by Visa and MasterCard regarding chargebacks. This form must be received within 80 days from the transaction date, mandating the cardholder to provide detailed information about the disputed transaction(s), including the merchant name, transaction date, and the disputed amount, alongside clear reasons for the dispute. Options range from double charging, unrecognized transactions, discrepancies in the charged amount, to not receiving goods or services as expected. Cardholders are required to tick the most appropriate description of their dispute, provide supporting documentation, and indicate their preferred method of contact. A fundamental declaration at the end of the form requires the cardholder to assert that the card has always been in their possession or report it as lost or stolen with the necessary affidavit. Submission of this form, complete with all needed documentation, initiates the dispute resolution process, requiring the bank to investigate and resolve the dispute in compliance with the chargeback conditions established by the credit card associations. Failure to submit within the specified timeframe implies the cardholder's acceptance of the transaction as valid, emphasizing the importance of prompt action in cases of disputed transactions.
| Question | Answer |
|---|---|
| Form Name | Hsbc Cardholder Dispute Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | hsbc transaction dispute form, hsbc dispute form, hsbc disputes team, hsbc travel dispute form |
RBWM CVM 08May2013_0068
FACSIMILE COVER SHEET
The Hongkong and Shanghai Banking Corporation Limited
7/F HSBC Centre 3058 Fifth Avenue West Bonifacio Global City 1634 Taguig City
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CARDHOLDER DISPUTE FORM |
Attention: |
DISPUTES RESOLUTION SERVICES |
Fax Number: |
Should you wish to confirm receipt of your dispute letter and supporting documents, you may contact 85800 after 3 banking days.
THIS FORM MUST BE RECEIVED WITHIN 80 CALENDAR DAYS FROM TRANSACTION DATE.
Please complete this form & attached the necessary documentation and mail to the above address or send via fax. These documents are required before we can process your dispute in accordance with the chargeback conditions as outlined by Visa and MasterCard. If we do not receive this letter & the required supporting documents within the specified timeframe, we will assume that you accept the transaction as valid and no longer intend to file a dispute.
ALL INFORMATION MUST BE LEGIBLY PRINTED OR TYPED
Cardholder Name |
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Card Number |
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Residence Number |
Office Number |
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Fax Number |
Mobile Number |
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Please indicate your preferred contact number with a (√) tick mark.
PLEASE INDICATE THE DETAILS OF THE DISPUTED TRANSACTIONS HERE
Transaction Date
Merchant Name
Disputed Amount
Based on my examination of the Billing Statement of my credit card account and/or enquiry with your Customer Service Centre, I am disputing the item/s listed above based on the following: (Please tick the most appropriate description and provide requested information and documentation)
OI was charged twice for the same transaction. I enclose a copy of the signed transaction sales slip.
OI only have one valid transaction with the merchant amounting to ___________. I enclose a copy of the valid transaction receipt.
O I neither participated nor authorized the transaction. I did not sign any slip nor receive any goods/services from the merchant
OI need a copy of the sales slip for my verification as I do not recognise the transaction. I agree that a retrieval fee will be charged to my account in case transaction is valid based on a signed sales slip.
OAmount charged was incorrect as actual transaction amount was ____________. See copy of the receipt showing correct amount.
OI paid for the transaction through other means. I enclose documents to prove other method of payment (cash/cheque receipt, statement of account for a different credit card).
OI received a credit voucher from the merchant last ___________ but no credit refund was processed to date. See attached credit slip.
OI cancelled the transaction with the merchant last ____________. See attached acknowledged cancellation letter.
OI cancelled the booking with Cebu Pacific/PAL. I have coordinated with Cebu Pacific/Philippine Airlines last __________ and was provided DCN
#_______________ dated ____________ as proof of the credit refund. Attached herewith is the copy of the Deposit Control Number provided by Cebu Pacific/Philippine Airlines.
OI did not receive expected goods/services from the merchant last ____________. I asked for a refund from the merchant on __________. See documents to prove expected date of service / delivery of goods.
OI have returned the merchandise last _________ due to ________________________________________ and I have requested for a refund from the merchant on __________. Enclosed is the proof of return or copy of the credit voucher issued by merchant.
OMerchandise shipped to me was defective or not as described (not the same as ordered) so I returned it on __________. I asked the merchant for a refund last __________ .See proof of return together with all pertinent documentation to support my claim.
OMerchant has imposed an additional amount of ___________ or ____% surcharge due to the credit card payment. I enclose copy of the invoice and signed receipt showing the surcharge amount/breakdown.
O(For international transactions) I incurred foreign exchange loss as a result of the merchant’s processing error. My account was debited for equivalent Php amount of __________ but credit refund was only equivalent to Php __________. See attached proof of merchant error.
OOthers (provide detailed explanation) ______________________________________________________________________________
_________________________________________________________________________________________________________________
In making this complaint/dispute, I hereby declare that:
OMy card has always been in my possession and has not been reported lost or stolen. I enclose a photocopy of the card's front and back image.
OMy card has been reported lost/stolen. I enclose my Affidavit of Loss/Theft.
Signature ____________________________________________ Date _____________________