River Link Dispute Form PDF Details

When toll notices arrive unexpectedly, they can bring confusion and frustration, especially if you believe there's been a mistake. The River Link Dispute form offers a structured path to challenge these toll transactions under specific circumstances. Whether it's a case of a vehicle being sold, leased, rented, stolen, a billing error, or any other reason you find yourself disputing a toll charge, this form is the starting point for making your case. The process requires the submission of the completed form along with the necessary documentation within a 60-day window from the date of the toll notice or the transaction's posting to a RiverLink account. Key details such as the Toll Notice Reference Number, RiverLink Account Number, and vehicle information including state and license plate are vital. The form distinguishes between different scenarios, such as vehicles that were sold, indicating the need for a copy of the signed vehicle title or sale receipt; those that were leased or rented, needing a copy of the lease or rental contract; and vehicles reported stolen, requiring a police report. For billing errors, evidence such as a cancelled check or a marked toll notice is required. RiverLink commits to responding to disputes within 30 days upon receiving the required information. This outline underscores the importance of retaining copies of all documents for your records and provides contact information for further assistance. This procedural avenue, framed by the guidelines of KRS Chapter 13B and 135 IAC 4-9-3, reflects an organized approach to resolving toll disputes through RiverLink, ensuring fairness and accountability in toll management.

QuestionAnswer
Form NameRiver Link Dispute Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesriverlink form online, toll riverlink notice make, toll form, link toll

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Toll Dispute Form

Pursuant to KRS Chapter 13B and 135 IAC 4-9-3

Toll disputes must be submitted to RiverLink within 60 days of the Toll Notice date or the date the toll(s) posted to a RiverLink account. Complete this form to dispute toll transaction(s) if the vehicle was sold, leased, rented, or stolen at the time of the toll transaction(s), or you suspect a billing error. Mail, email or deliver to RiverLink: 1) completed and signed Toll Dispute form and 2) required documents (see below). Keep a copy of all documentation for your records. RiverLink will notify you of our determination to your dispute within 30 days of receipt of required information. If you have any questions in completing this form, call the RiverLink Customer Service Center at 1-855-RIV-LINK (1-855-748-5465).

Toll Notice Reference No.: or RiverLink Account No.:

State: License Plate:

☐Vehicle was sold

I, the undersigned, certify that the vehicle identified on the Toll Notice was sold or transferred to another party prior to the toll transaction(s) date.

The vehicle was sold to the buyer listed below:

Name:

Date of Sale:

 

 

Address:

(optional) Telephone Number:

 

(optional)

City/State/Zip Code:

 

(optional)

 

 

 

 

 

Required Information:

A copy of the signed vehicle title or receipt of sale as record of vehicle sale must be submitted.

(If multiple vehicles were sold, you do not need to complete a Toll Dispute form for each vehicle. You may provide a summary listing Reference No./Account No., License Plate No., and buyer contact information.)

☐Vehicle was leased or rented

I, the undersigned, certify that the vehicle identified on the Toll Notice was either leased or rented at the time of the toll transaction(s).

Required Information:

A copy of the contract covering the vehicle that reflects the lease/rental date, license plate, VIN and lessee/renter contact information.

(If multiple vehicles were leased/rented, you do not need to complete a Toll Dispute form for each vehicle. You may provide a summary listing Reference No./Account No., License Plate No., and lessee/renter contact information.)

☐ Vehicle was

I, the undersigned, certify that the vehicle identified on the Toll Notice was stolen and had not been recovered before the toll

stolen

occurred.

 

The theft was reported to the appropriate law enforcement. The pertinent information is as follows:

Case Number:

Date of Report:

Officer Name:

Badge Number:

Telephone Number:

County:

Required Information:

 

A copy of the police report.

 

☐ Billing Error

I, the undersigned, certify that the toll transaction(s) were previously paid or the incorrect toll rate was charge.

 

Required Information:

A copy of the cancelled check, bank or credit card statement clearly identifying that the payment satisfied the transactions in

dispute.

OR

A copy of the Toll Notice or RiverLink Statement with the toll transaction(s) in dispute marked clearly.

☐ Other

As the owner of the vehicle listed on the Toll Notice or RiverLink Statement, I have indicated by selecting one of the options above that I am not responsible for the toll transaction(s) documented. I understand that if the required documentation is not submitted, my request will not be processed and additional information may be required to continue with my dispute.

Name (Type or Print Legibly):Signature:Date:

www.RiverLink.com / 1-855-RIV-LINK (1-855-748-5465) / customerservice@riverlink.com

P.O Box 16799 Austin, TX 78761

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1. The toll riverlink notice involves particular information to be entered. Ensure that the subsequent fields are completed:

Part # 1 for filling in riverlink dispute

2. Soon after this section is done, go to enter the applicable information in these - Vehicle was stolen, Billing Error, Other, I the undersigned certify that the, The theft was reported to the, Case Number Date of Report, Officer Name Badge Number, Telephone Number County, Required Information, A copy of the police report, I the undersigned certify that the, Required Information, A copy of the cancelled check bank, A copy of the Toll Notice or, and As the owner of the vehicle listed.

Step # 2 in completing riverlink dispute

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