Chargeback Dispute Generator

Auto-saved

Share Pre-entered Data

Export creates a downloadable file with all current data (text fields and screenshots). Import allows loading data from an exported file.

Upload order JSON data:

Opening info (optional):

Additional Information

Cryptocurrency:

Chargeback Reason:

KYC Attributes:

Payment Service Provider:

JPMorgan Chase Warning Page:

No Yes

IP Address:

IP Location:

Card BIN (optional):

Last 4 Card Digits:

Transaction Date:

Order Placed Time (UTC):

Payment Capture Time (UTC):

Blockchain Confirmation Date:

Blockchain Confirmation Time (UTC):

Customer Frequency Note (optional):

First Order Details

IP Address (1st Order):

IP Location (1st Order):

Card BIN (1st Order):

Last 4 Card Digits (1st Order):

Transaction Date (1st Order):

Order Placed Time (1st Order):

Payment Capture Time (1st Order):

Blockchain Confirmation Date (1st Order):

Blockchain Confirmation Time (1st Order):

Second Order Details

IP Address (2nd Order):

IP Location (2nd Order):

Card BIN (2nd Order):

Last 4 Card Digits (2nd Order):

Transaction Date (2nd Order):

Order Placed Time (2nd Order):

Payment Capture Time (2nd Order):

Blockchain Confirmation Date (2nd Order):

Blockchain Confirmation Time (2nd Order):

Customer Communication:

Did the customer contact us?

Evidence Upload Section

Only uploaded images will appear in the final document.

IP information through Seon.io:

Payment log through payment_provider:

Screenshot of the Track & Trace page indicating completion (Highlighted areas match the details on the receipt):

The sales receipt from the merchant's back-end:

TOS acceptance time:

The liveness check matched to picture on the ID document:

Customers' ID document:

Proof of address document:

Proof that the customer did/did not contact us:

Proof that the customer received our emails, notifying them of their order:

Customer Communication Files

Import Customer Conversations (TXT files):

Upload TXT files containing customer conversations. Multiple files will be numbered as "First conversation", "Second conversation", etc. Note: Conversations will only appear in the document if "Did the customer contact us?" is set to "Yes".

Upload order JSON data (single or multiple files):

Signature

Name of sender:

KYC Attributes

KYC attributes (auto-populated from JSON):

Cryptocurrency

Cryptocurrency (auto-populated from JSON):

Evidence Screenshots

Upload JSON files first to create evidence sections for each order.

Upload single order JSON data:

Signature

Name of sender:

Customer contact text (optional):

KYC Override

KYC Attributes:

Cryptocurrency

Cryptocurrency (select network):

Evidence Upload

Liveness Check Screenshots

Click to upload liveness check screenshots

or paste images with Ctrl+V

Proof of ID Document Screenshots

Click to upload proof of ID document screenshots

or paste images with Ctrl+V

Proof of Address Document Screenshots

Click to upload proof of address document screenshots

or paste images with Ctrl+V

Sales Receipt Screenshots

Click to upload sales receipt screenshots

or paste images with Ctrl+V