ATM Questionnaire

This is the general questionnaire structure for the response to /claim/intake/retrieveQuestionnaire when the dispute is ATM-related.

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Note

This schema represents an example only. The actual questionnaire you get might vary from what is shown here.

Which of the following would you like to report?

I had an issue while using my card at an ATM.

Tell us about the reason behind the dispute.

I had an issue withdrawing funds at an ATM.
  • [required] Did you receive more funds than the posted amount? [Yes/No]

    • No
      • Yes — This will result in a debit to your account for the difference between the withdrawal amount and dispensed amount. Do you wish to proceed with this dispute? [Yes/No]
      • No
    • Yes
  • [required] How much money did you receive from the ATM? [Text]

  • [required] Do you have any additional information to provide about this dispute? [Yes/No]

    • No
    • Yes — Please provide any additional information. [Text]

My ATM deposit posted for the wrong amount.
  • [required] Did the transaction post for an amount greater than the deposited amount? [Yes/No]

    • No
    • Yes — Display text: "This will result in a debit to the account."
  • [required] What is the correct deposit amount? [Text]

  • [required] Do you have a receipt? [Yes/No]

    • No
    • Yes
  • [required] Please provide the location of the ATM:

    • Crossroads [Text]
    • Street Address [Text]
    • Street Address #2 [Text]
    • City [Text]
    • State [Text]
    • Zip [Text]
  • [required] Do you have any additional information to provide about this dispute? [Yes/No]

    • No
    • Yes — Please provide any additional information. [Text]

My ATM deposit did not post to my account.
  • [required] What was the date of the deposit? [Date]

  • [required] What did you deposit? [BulletList]

    • Cash — What was the total amount deposited in cash? [Text]
    • Check — Enter the following information about each check that was deposited. You may enter up to 30 checks per ATM deposit claim.
      • Check Amount [Text]
      • Maker [Text]
      • Check Number [Text]
      • Date [Date]
      • Both
        • What was the total amount deposited in cash? [Text]
        • Enter the following information about each check that was deposited. You may enter up to 30 checks per ATM deposit claim.
          • Check Amount [Text]
          • Maker [Text]
          • Check Number [Text]
          • Date [Date]
  • [required] What were the last 4 digits of the card used? [Text]

  • [required] Was this transaction performed at a [Client Name] ATM? [Yes/No]

    • No
      • Which institution did the ATM belong to? [Text]
      • Please provide the location of the ATM:
        • Crossroads [Text]
        • Street Address [Text]
        • Street Address #2 [Text]
        • City [Text]
        • State [Text]
        • Zip [Text]
    • Yes — Please provide the location of the ATM:
      • Crossroads [Text]
      • Street Address [Text]
      • Street Address #2 [Text]
      • City [Text]
      • State [Text]
      • Zip [Text]
  • [required] Do you have a receipt? [Yes/No]

    • No
    • Yes
  • [required] Do you have any additional information to provide about this dispute? [Yes/No]

    • No
    • Yes — Please provide any additional information. [Text]

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