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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