This is the general questionnaire structure for the response to /claim/intake/retrieveQuestionnaire
when the dispute is ATM-related.
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 — 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
-
[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
]
- Crossroads [
-
[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
]
- Check Amount [
- What was the total amount deposited in cash? [
- Check Amount [
- Cash — What was the total amount deposited in cash? [
-
[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
]
- Crossroads [
- Which institution did the ATM belong to? [
- Yes — Please provide the location of the ATM:
- Crossroads [
Text
] - Street Address [
Text
] - Street Address #2 [
Text
] - City [
Text
] - State [
Text
] - Zip [
Text
]
- Crossroads [
- No —
-
[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
]