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    Paypal Mycash Dispute Form PDF

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    DORIS TIMMONS
    Doris Timmons is disputing two $200 transactions that occurred on December 13, 2015 at CVS using Vanilla Reload cards. When she attempted to add the $400 to her PayPal account a few days later, she discovered the funds had already been used on another email address. She has provided documentation from CVS and her bank statement. She is requesting the $400 dispute amount be credited back to her account.

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    © All Rights Reserved
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    Paypal Mycash Dispute Form PDF

    Uploaded by

    DORIS TIMMONS
    1K views3 pages
    Doris Timmons is disputing two $200 transactions that occurred on December 13, 2015 at CVS using Vanilla Reload cards. When she attempted to add the $400 to her PayPal account a few days later, she discovered the funds had already been used on another email address. She has provided documentation from CVS and her bank statement. She is requesting the $400 dispute amount be credited back to her account.

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    Paypal Mycash Dispute Form.pdf

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    Doris Timmons is disputing two $200 transactions that occurred on December 13, 2015 at CVS using Vanilla Reload cards. When she attempted to add the $400 to her PayPal account a few days later, she discovered the funds had already been used on another email address. She has provided documentation from CVS and her bank statement. She is requesting the $400 dispute amount be credited back to her account.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views3 pages

    Paypal Mycash Dispute Form PDF

    Uploaded by

    DORIS TIMMONS
    Doris Timmons is disputing two $200 transactions that occurred on December 13, 2015 at CVS using Vanilla Reload cards. When she attempted to add the $400 to her PayPal account a few days later, she discovered the funds had already been used on another email address. She has provided documentation from CVS and her bank statement. She is requesting the $400 dispute amount be credited back to her account.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3
    At a glance
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    The document outlines the process and requirements for disputing a transaction, including a checklist of required information and methods for submitting disputes.

    The checklist requires a signed letter describing the dispute, copies of receipts/documentation, merchant/retail contact information, cardholder contact information, a signed transaction dispute checklist, and a valid government ID.

    The cardholder states they purchased two gift cards totaling $400 from CVS that were then used on another account before they could add the funds to their PayPal account. They have contacted both CVS and PayPal but were unable to resolve the issue.

    Transaction Dispute - Checklist

    TRANSACTION DISPUTE - CHECKLIST


    The below checklist of items MUST BE PROVIDED in order to process the dispute request. A chargeback
    specialist will be assigned to your case & contact you for further information (if necessary) and will provide
    status of the submitted claim. The content provided will allow proper investigation of the transaction dispute.
    Failure to provide the information in the checklist WILL PREVENT THE PROCESSING OF THE CLAIM.
    This form must be received within 60 days of the date the charge posted to your account and within 10 days of
    receipt of this packet.

    Transaction Dispute Form


    Signed Letter Describing Dispute
    Copy of Receipts/Documentation
    Merchant/Retail Contact Information
    Cardholder Contact Information
    Signed Transaction Dispute Checklist
    Valid Government ID

    For your convenience, there are 2 ways to submit Transaction Disputes:


    Via Fax:

    Via Mail:

    1-855-894-1826

    Incomm Inc.
    c/o Chargeback Department
    Post Office Box 826
    Fortson, Georgia 31808-0826

    Email: VRNDisputes@incomm.com
    Attention: Chargeback Department
    (Please Include Cover Letter)

    CHECKLIST COMPLETION

    12/22/15
    Date: ____________
    DORIS E. TIMMONS
    Print Name: __________________________
    Signature: (X)_________________________

    INCOMM INTERNAL USE ONLY

    Chargeback Specialist Signature:

    Date:

    I have verified that all of the required documents have been submitted before investigating this
    request.

    Transaction Dispute - Request Form


    A.

    CARDHOLDER INFORMATION

    Cardholder Name:

    DORIS E. TIMMONS

    683182

    Trouble Ticket #:

    Pin Card Number

    757 976 7879


    798 400 6778
    Address:

    105 CANEY PLACE

    Phone #:

    912-409-7853

    Phone #:
    City:

    State:

    KINGSLAND

    GA

    Zip:

    31548

    Card Type: ATM


    VISA
    MasterCard
    Discover
    Vanilla Reload
    * PayPal X**
    *If dispute is in relation to a Vanilla Reload card/pin please enter 16-digit card number in which you are
    attempting to reload below and refer to Sections C, E, and F ONLY:
    ** If dispute is in relation to a PayPal MyCash pin card, please enter the email address of the PayPal account in
    which you are attempting to reload below and refer to Sections C, E, and F ONLY:

    dorist@tds.net

    B.

    TRANSACTION INFORMATION

    Transaction Type:

    Point-of-Sale

    Merchant Name:

    CVS

    Merchant Phone #:

    C.

    Online Transaction

    ATM Withdrawal
    Transaction Date:

    912-729-6772

    Transaction Amount:

    12/13/15
    $200 + $200 ea Card

    TRANSACTION DISPUTE DETAILS

    Please provide as much detail as possible, including the sequence of events and your attempt(s) to reconcile
    with the merchant.

    On Sun, 12/13/15, I purchased the 2 cards at CVS, $200 on each card. When I tried to add the $400 to my
    Pay Pal acct couple days later it said cards had already been used. This was actually my first transaction and
    I was very excited to shop with it. I called CVS and they said call Pay Pal. Pay Pal told me they had been used
    to another Email but couldn't give me any further info.They said it is just like stealing cash and they were sorry.
    Well that is how I considered it, just like I protect my money. I am glad they at least sent me to this complaint
    form so pls help me. I'm attaching copy from CVS and my bank acct which shows I had just gotten the $400
    from my Acct. PLEASE HELP ME.

    D. RESOLUTION DETAIL
    If you are due a credit/refund, how would you like to be reimbursed?
    Please select one.
    Credit to Card
    E.

    New Card Issued for Dispute Amount

    Refund Check

    DISPUTE AGREEMENT

    Neither I nor any authorized user made or authorized the above charges on my account. I have received no
    benefit from the above charges. In addition, I do not authorize any future charges to be billed by these
    merchant(s) to my account.
    I, the undersigned, attest that the information contained herein is true and accurate. I agree that any deception
    or knowledge thereof on my part constitutes fraud and breach of contract as defined in the Cardholder
    Agreement and will result in the denial of the disputed claim, and possible legal recourse/financial remuneration
    as deemed necessary by InComm.

    F.

    CARDHOLDER SIGNATURE

    12/22/15
    DATE: ____________
    Doris E. Timmons
    PRINTED NAME: ___________________________
    SIGNATURE: (X) ___________________________

    FAX
    To:
    From:
    Re:

    Chargeback Department

    DORIS E. TIMMONS
    REF # 683182

    Fax:
    Date:

    1-855-894-1826

    12/23/15

    Pages:

    Cc:

    X Urgent

     For review

     Please comment

    Notes:

    confidential

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