Printable Netspend Dispute Form

When filling out and using the Netspend Dispute form, consider the following key takeaways:

• Timeliness is crucial. Complete and submit the form within 60 days of the disputed transaction.
• Provide complete information. Ensure all required fields, such as your name, contact information, and card details, are filled out accurately.
• Document your dispute. Include any supporting documentation, such as receipts or emails, to strengthen your claim.
• Multiple disputes allowed. You can dispute up to five transactions on a single form, streamlining the process.
• Merchant contact matters. Indicate whether you have contacted the merchant regarding the disputed transaction, as this information can be relevant.
• Block unauthorized activity. If your card is lost or stolen, specify this on the form to prevent further unauthorized use.
• Liability considerations. Understand that you may be liable for unauthorized transactions if you do not report a lost or stolen card promptly.
• Signature required. Don’t forget to sign and date the form before submission to validate your dispute.
• Faxing the form. Submit the completed form and supporting documents via fax to the designated number for processing.

Netspend Dispute - Usage Instruction

Once you have completed the Netspend Dispute form, the next steps involve submitting it along with any necessary supporting documents. This ensures that your dispute is processed efficiently. After submission, Netspend will review your form and make a decision regarding your claim within 10 business days.

1. Begin by filling in your Cardholder Name at the top of the form.
2. Enter your Phone Number next to your name.
3. Provide your Address, including City, State, and Zip code.
4. Write your Card or Account Number in the designated area.
5. If you have a Claim Number, include it in the appropriate space.
6. For each transaction you are disputing (up to 5), fill out the following details:
• Disputed Amount
• Date of Transaction (MM/DD/YY)
• Time of Transaction (include AM or PM)
• Merchant’s Name
• Indicate if you have contacted the merchant by circling Yes or No.
• If yes, indicate if they will provide a refund by circling Yes or No.
• If a refund is expected, provide the Date expected (MM/DD/YY) and the Amount expected.
7. Record the Date card was noticed missing/lost/compromised (MM/DD/YY).
8. Answer whether anyone else has access to your PIN by circling Yes or No.
9. If you answered Yes, provide an explanation of how.
10. Write a detailed explanation of what happened regarding the unauthorized transactions. Attach additional pages if necessary.
11. Sign the form and include the Date of signing.
12. Fax the completed form to 512-531-8770.
13. Include a full copy of the police report and any supporting documents, such as receipts or emails, when submitting the form.