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Dispute Transaction Form

This dispute transaction form allows customers to dispute transactions on their credit card or debit card accounts. It requests information about the transaction date, retailer, and card number to identify the dispute. Customers select the category of dispute from options like "I didn't receive goods/services ordered" or "I received a refund but it was insufficient." Supporting documentation is required, such as proof of contacting the retailer to resolve issues. Disputes must be filed within 60 days for the bank to investigate and potentially process a chargeback.
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0% found this document useful (0 votes)
91 views2 pages

Dispute Transaction Form

This dispute transaction form allows customers to dispute transactions on their credit card or debit card accounts. It requests information about the transaction date, retailer, and card number to identify the dispute. Customers select the category of dispute from options like "I didn't receive goods/services ordered" or "I received a refund but it was insufficient." Supporting documentation is required, such as proof of contacting the retailer to resolve issues. Disputes must be filed within 60 days for the bank to investigate and potentially process a chargeback.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Dispute Transaction Form

Use this form if there is a transaction on your account that doesn’t look right or you have a query with.

Thank you for contacting us. We are helping lots of customers with their questions during Covid-19. It is taking
us longer than normal to get back to everyone, we’re sorry about that. We’re doing our best to get back to you
as soon as we can.
Please select the card type that you have the query on Visa Debit Credit Card

Name Address

Card number (just the last 4 digits) Mobile Number

Date of the Transaction Name of the retailer

Here are some categories to help you. If you need to give us more information, let us know in a covering letter and attach any
documents that you think might help.

Tick What type of a dispute is it? Documents we need to see.

1. I didn’t get the goods or services that I ordered. o Proof that you contacted the shop, supplier or seller, for
example an email, letter or fax.
o Copy of invoice if there is one. If there isn’t one, describe
what you tried to buy.
o If you were dealing with a travel operator or an airline that
has gone into liquidation we need proof that the transaction
is not covered by a bonding authority
2. I didn’t get a refund when I was supposed to o Once 15 days have passed since the transaction and you still
have not received the refund, send us the receipt for the
refund from the sales terminal

3. I have cancelled a transaction with a retailer and o Proof that you tried to cancel it before it was charged
keep getting charged a recurring amount

4. I received counterfeit goods o Describe the goods you tried to buy.


o Tell us if the goods are held or destroyed by Customs
o Send us a copy of invoice or order confirmation.
o Proof that the goods are counterfeit, or that the online shop
is not genuine, from the owner of the brand, or Customs or
an expert.

5. I got a refund but it was not enough because of o Tell us why you were getting a refund in the first place.
currency conversion.
You can only dispute this charge when the refund was due to a
mistake by the shop or seller, not when they were refunding you
because you cancelled a transaction, for example.
6. I received goods that were damaged or defective. o Describe what the good were and what was wrong with
them.
o The invoice, if there is one.
o Show that you contacted the shop or seller to try to fix
the problem.
o Show that you sent the good back by recorded delivery
7. I cancelled the order o Show that you cancelled the order and returned the
goods if you had already received them.
o The shop or seller’s cancellation policy
o Show that you contacted the shop or seller to try to fix
the problem.
8. Other o Tell us what happened and show us as much proof as you
can. The more you tell us the better we may be able to
help you.

There are strict guidelines in Visa and MasterCard’s rules about disputes. You should raise any dispute within 60 days of the transaction
on your account to give enough time to look into and process the dispute. We will try to help you, but outside 60 days we cannot
guarantee that we will be able to process your dispute. If, while looking into your dispute we need more information we will contact
you.

Please return this form and any associated documentation to Chargeback Unit, PO Box 708, Sandyford, Dublin 18 or you can
email to charge.back@aib.ie

Signed: Date:
Allied Irish Banks, p.l.c. is regulated by the Central Bank of Ireland

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