Transaction Dispute Claim Form

Who this template is for

Transaction Dispute Claim Form is built for small teams who need a reliable intake process who need to collect the same complete information from everyone.

• Small teams who need a reliable intake process working in banking & identity.
• Teams who need to collect the same complete information from everyone without writing code or paying for a custom build.
• Anyone replacing chasing missing details over email with one structured record per enquiry.
• Respondents are the people you send it to — the form asks them 27 questions across 5 screens.

Why this form is useful

It removes the cost of chasing missing details over email and turns each submission into a record your team can act on immediately.

• 16 questions are required, so submissions arrive complete instead of needing a follow-up email.
• It collects a verified email address so replies and confirmations land.
• It captures a phone number for urgent follow-up.
• It accepts a document or photo upload as evidence.
• It records a signature you can keep as proof of agreement.
• It pins the request to a specific date.
• It captures a numeric value you can filter and sort on.
• Conditional logic hides 5 questions until they are relevant — shorter forms convert better than long ones.

How to use this template

From copy to live form is a few minutes of work, and every step is reversible.

1. 1Press “Use this template” — a fresh copy of Transaction Dispute Claim Form lands in your workspace, ready to edit.
2. 2Rename or delete any question, and change what is required. Nothing here is fixed.
3. 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
4. 4Check the upload limits on the file question so respondents can attach what you actually need.
5. 5Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
6. 6Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.

Logic and conditions blueprint

Exactly how this form behaves as it is answered — 5 conditional rules ship with it.

• Features advanced show logic: if “Reason for the dispute” is Unauthorised transaction, the form dynamically exposes “Has the card or account been blocked?”. Otherwise that question never appears.
• Features conditional validation: if “Reason for the dispute” is Goods or services not received, “Expected delivery date” becomes mandatory before the form can be sent.
• Features advanced show logic: if “Reason for the dispute” is Cancelled subscription still charged, the form dynamically exposes “Date the subscription was cancelled”. Otherwise that question never appears.
• Features conditional validation: if “Have you contacted the merchant?” is Yes, “What did the merchant say?” becomes mandatory before the form can be sent.
• Features advanced show logic: if “Has this been reported to the police?” is Yes, the form dynamically exposes “Crime reference number”. Otherwise that question never appears.
• All 5 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.