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Balance Transfer Questionnaire



Which of the following best describes the reason for your dispute?Claim Reason
I did not authorize this transaction. I suspect fraud.Fraud
I authorized this balance transfer, but it is incorrect.Incorrect

I did not authorize this transaction. I suspect fraud. 

Do you recognize the account where the balance transfer originated?

Yes or No

Please describe in detail the reason for your dispute.

Free-form text box

Would you like us to send you a replacement card?

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Yes


No

Do you have any additional information to provide about this dispute?

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Yes


No


I authorized this balance transfer, but it is incorrect. 

Please describe in detail the reason for your dispute.

Free-form text box

Do you have any additional information to provide about this dispute?

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Yes


No

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