Security Center

1
Transaction Action Type* This field is required.
Report Fraud
Dispute a Charge
Transaction Inquiry
Other
2
Order or Transaction NumberEnter this information if applicable (optional)
Order or transaction number can be found on confirmation page, email, or invoice.
3
Dispute Amount* This field is required.Enter the dispute amount posted to your account.
4
Transaction Date* This field is required.Enter the date the transaction posted to your account.
Date
Month
Day
Year
5
Last 4 digits of card* This field is required.Enter the last 4 digits of the card number used that your disputing.
6
Resolution or Claim Type* This field is required.Select the option that best describes the reason for the dispute:
I don't recognize this charge.
I don't agree with the charge amount, or I have been billed more than expected.
I've been charged more than once for the same purchase.
I've canceled, returned, or refused this purchase.
I haven't received my goods or services.
Watch Rapport canceled my goods or services.
I received my goods or services but they were not as described.
I purchased this using a different payment method.
7
Did you make any attempt to contact us to obtain knowledge of the charge?* This field is required.
YESNO
8
Did you contact your bank about this transaction?* This field is required.Did you make any attempt to contact your bank to obtain knowledge of this charge?
YESNO
9
Did you file a dispute or chargeback with your bank?* This field is required.Did you already file a dispute, inquiry, or chargeback with your bank?
YESNO
10
Full Name* This field is required.Please use the name on the order or transaction you want us to resolve.
First Name
Last Name
11
Email* This field is required.Enter your email address so we can communicate with you regarding your claim.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
12
Phone Number* This field is required.Enter the best contact number to reach you incase we have questions.
Area Code
Phone Number
13
Comments * This field is required.Please provide us detailed information so we can resolve your request promptly.
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: