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We may request additional information from you at various stages in this process to assist us in our investigation and to substantiate your claim.
To preserve these billing rights, you must notify Security BankCard Center within (60) days of the closing date of the statement on which the error or problem first appeared.
For help with this form please call 1-800-356-8085.
Asterisks (*) indicate required fields.
My good faith effort to cancel a recurring charge with the above named merchant has been unsuccessful. I am providing notice within three (3) business days of the next scheduled debit and request that Security BankCard prevent any further debits. I understand that this may result in the cancellation and re-issuance of my current credit card account. For previous charges that occurred after notifying the merchant of cancellation, please provide proof of cancellation.
Hotel/Motel NO SHOW charges may be disputed if you have the cancellation number that the merchant provided at the time you cancelled your reservation. Without the cancellation numbers we are unable to remove this charge.
You must first attempt to resolve the dispute with the merchant.Product(s) or Services were not accepted by me or delivered to me as agreed. My good faith effort to resolve this issue with the merchant has been unsuccessful. I will provide a copy of the sales receipt, agreement or contract I received from the merchant.
Merchant failed to properly post credit to my account. I will provide a copy of the return sales receipt I received from the merchant. (Note: Merchants have 15 days to post a credit after merchandise is returned).
Merchants have 15 days from the day they receive the merchandise back to post a credit to your account. The credit will not include shipping and handling cost. We must have proof of return, what address the merchandise was returned to and who signed for the return. The dispute cannot be completed on-line. You must print off this completed online form and sign it. Mail the completed signed form and the proof of return to Security BankCard Center. Without proof of return we are unable to remove this charge. Complete the Descriptions of Transaction box below and describe what was expected and received, reason for return, and the merchant's response to your complaint.
I do not recognize this charge. I need more information to verify charge is valid. Merchant has 30 days to supply Security BankCard with a copy of the transaction. You may call the merchant for a faster response. Merchants list their telephone following the charge on your statement.
To dispute any charge to your credit card that you paid for by other means you must supply us with one of the following
This dispute cannot be completed online. You must print out this online form and sign it. Mail the signed form and the proof of payment to Security BankCard Center. Without proof of other means of payment, we are unable to remove this charge.
If you participated in a transaction with this merchant it is not considered fraud. Please utilize one of the other options above for dispute. If you did not participate in a transaction with this merchant then this dispute cannot be filed on-line.
You must contact our fraud department at 1-800-356-8085. In order for us to pursue this dispute, we will have to close your account and initiate an investigation of the fraudulent charges.
The above mentioned transaction was posted to my account incorrectly or posted to my account multiple times. I will provide a copy of the sales receipt that I received from the merchant.
Please list a description of this charge below in the "Description of Transactions" box.
The correct amount of charge is ______. The amount charged to your account is_____.
December 12, 2018
Please use the below address when mailing a completed dispute form and copy of receipt or other reference material or email us at email@example.com.
Security BankCard Center
P.O. Box 6139
Norman, OK 73070
By pressing submit I verify that the information I have provided in this form is true and accurate.
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