Claim Appeal Form


You can use this form only for the following case:

You have already followed the instructions provided in the "Customer Service" section, but you were not satisfied with their answer.  So you want us to do something for you.  You are sure that the customer service person did not do the job in the right away.

Make sure that you do not skip anything and give us all the information so that we can file a complaints to the company which is responsible for your card.  Have you already followed the instructions provided in the customer service section?  If you have not, please go to the "Customer Service" and find out what you should do before you submit this form.  If you simply want to give us your opinion on card quality please use ......


Required entries are shown with *.  

* Your Name

i.e., Phil Lewis

* Your Email address

i.e., phillewis@email.university.edu

 * Names of the customer service Person


Make sure to write down the customer service person's name when you called in to the company that make the cards.  Without the name, we cannot process the claim for you

* Phone card name

i.e., EAST card

* Card Number (PIN)

i.e., 323 339 840 4890

* Date & Time of the problem

i.e., 10:20 P.M. CST Sep. 13

 * Your home phone number

  i.e., 405-323-3217.  Your home phone number

* Originating Number

  i.e., 405-431-6098, public payphone. The phone number from which you called at the time of the problem.

* Destination Number

  i.e., 011-82-2-323-321-7890.  The phone number to which you called at the time of the problem.

* What exactly happened

 

 

 

 

Please be as specific as possible

  * What has the customer service person done for you?

 

 

 

Please also include why you were not satisfied with the result and your expectation.