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Please enter the Retailer Name

Transaction details

Please enter a valid date
Please enter a valid amount
Please enter the disputed amount
Please enter the Retailer Name
Please enter a valid date
Please describe the service you paid for.

For example, repairs, installations, legal, trading or digital goods.

If you are only disputing ‘some of’ the transaction amount please also explain why here.

Please enter a valid date
Please provide date
What contact have you had with the retailer to try and resolve things?
Please enter date of transaction
Prior to the retailer going into liquidation/administration were any alternative dates or services agreed i.e. a credit voucher or a new delivery/service date? If so, please explain in detail what was provided.