Dispute form

Dispute form
Your e-mail adress *
example@example.com
I have delivered the following to my customer... *

Physical productt Digital produkt Offline services
General informations
When was the customer presented with the refund policy?
Why should this customer not receive a refund?
Description of your product *
Name of your customer *
.
E-mail address of your customer
Signature of your costumer

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Cancel of
Invoice address
IP of your customer
Date of delivery/output

Monat Tag Jahr
Datum
Payment proof

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Cancel of
Communication with your customer

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Any correspondence with your customer that may be relevant to your case. For example, emails proving he has ordered received or used your product or service. Cancel of
Further information

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Further supporting documents, statements, invoices that you wish to submit to the bank. Cancel of
Delivery information *only for physical products
Delivery service
Tracking number
Delivery proof

Datei auswählen

Cancel of
Shipping date

Monat Tag Jahr
Datum
Delivery address
Access information *only for digital products
Access information
Server or activity logs can help proofing that your customer has indeed bought, downloaded or called your product up. Protocols should contain IP addresses, timestamps, and all recorded activities.
Should be Empty: