Please complete this form and provide any supporting documentation to assist us in our investigation and support your claim.
Please select the card type.
*
Physical Card
Virtual Card
Cardholder Name
*
Card Number (last 4 digits)
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Transaction Details
*
Dispute Type
*
Please Select
I did not authorize the transaction.
I received counterfeit goods.
I did not receive the credit that the merchant promised.
I did not receive my goods purchased.
The merchant did not inform me that my transaction was non-refundable.
I cancelled my transaction/service subscription.
The goods I received were not as described online.
I do not recognize the transaction.
I was charged twice for the same transaction.
I was billed for the wrong amount.
I paid for the transaction by other means.
ABM Dispute
Other
ABM Location
*
Please Select
Sagicor Bank, Worthing
Sagicor Financial Centre, Collymore Rock
Sagicor Trident House
Sagicor Wildey
The Estates at St. George
Emerald City
Massy Warrens
Massy Sunset Crest
UWI Cave Hill Campus
Haymans Market
Dispute Reason
*
Please Select
The amount that was credited was not the amount I was promised
Funds were debited instead of credited
Dispute Reason
*
Please Select
The merchant did not honor the terms of my purchase
My goods were defective / damaged
My digital download was defective
Dispute Reason
*
Please Select
My account was debited more than once for the same transaction
Some or all of the funds debited from my account were not dispensed
Some or none of the funds that I deposited were not credited to my account
Description of Dispute
Have you Contacted the Merchant?
*
Please Select
Yes
No, but I will attempt to do so with the understanding that this may resolve my dispute faster.
Please provide any supporting documentation you may have.
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Upload the credit memo recevived by the merchant.
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Upload the acknowledged cancellation letter.
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Upload a copy of proof of payment showing the correct transaction amount.
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Upload an image of your transaction receipt.
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Upload a document which proves another method of payment was used.
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Additional Details
In filling this dispute, I hereby declare that:
*
The credit/debit card used for the disputed transaction(s) has at all material times been in my or in the supplementary cardholder’s possession and the above stated information is true and correct to the best of my knowledge and information.
Important Reminder:
Please note the following regarding disputed transactions:
Investigations of E-Commerce and/or POS transactions may take up to 120 days.
Investigations of disputed transactions at ABMs may take up to 15 business days.
Sagicor Bank will only begin the dispute process when all required information is submitted.
A fee will be charged if the dispute claim is not honoured.
This claim does not suspend your payment obligations.
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