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Citibank® Commercial Cards. Cardholder Dispute Form This form must be filled out completely and forwarded to Citibank and appropriate Agency Officials If necessary, attach a separate sheet or statement to this form with the disputed transactions circled. Date of Transaction. Merchant Name. Transaction Amount. Billingdisputes Citi Com. Fill out, securely sign, print or email your citibank dispute letter form instantly with SignNow. The most secure digital platform Citibank also allows their credit cardholders to report a dispute. In this case, Citibank will ask the cardholder to submit a “Dispute Form”.CARDHOLDER: PLEASE PROVIDE A COPY OF ANY INFORMATION/FORMS REQUESTED BELOW. ALONG WITH THE STATEMENT THE DISPUTED CHARGE APPEARS ON. Form Popularity billing disputes citi com form. Form Popularity billing disputes citi com form. Get, Create, Make and Sign citibank dispute email address. If you disagree with a charge to your card account, Citibank will initiate a transaction dispute free Print out and complete a Transaction Dispute Form. 2012 Citibank, N.A. All rights reserved. Citi and Arc Design and Citibank are registered service marks of Citigroup Inc. Cardholder Dispute Form. Analyzing and monitoring Citibank reports detailing transaction dispute A dispute should be filed which includes proof of the other form of payment,. a signed letter of dispute with supporting documents to uaeservice@citi.com Merchant Name (as it appears on Citialert / Citibank Online / Statement).