File name: Walmart money card dispute form pdf
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Please provide all of the following pieces of information and sign the form where indicated: Cardholder’s NamendCardholder’s Name (if applicable): LastDigits of Transaction Dispute, P.O. Box, Pasadena, CA Section A – Cardholder Information. Date*: _________________ ________________________ Card Number* (lastdigits) forms and any additional information in one envelope to: Green Dot Corp. Important: Please be aware your employer cannot assist with dispute requests. You must contact Money Network Customer Service directly, using the number on the back of your Card, to initiate your dispute before submitting this document. If you are unable use the form, write to us If you are disputing unauthorized activity on your card, we will make our best efforts to secure your funds by blocking or restricting your card. Amount Merchant Description: Transaction Date Print and Mail DISPUTES P.O. BOX Omaha, NE Print and Fax FaxEmail ALL DISPUTES TO BE RESOLVED BY WAY OF BINDING INDIVIDUAL ARBITRATION. If your card or services have Customer Dispute Form. THE TERMS OF THE ARBITRATION CLAUSE APPEAR AT THE END OF THIS If you have a dispute unrelated to the issues above, please give us a call at, or fill out the Transaction Dispute Form.