Edit, Download, and Sign the PNC Billing Inquiry/Dispute Form
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How do I fill this out?
To fill out this form, you need to provide detailed information regarding your billing inquiry or dispute. Ensure that you have all the necessary documentation to support your claim. Follow the instructions carefully to avoid any delays in processing.

How to fill out the PNC Billing Inquiry/Dispute Form?
1
Enter the primary cardholder's name and daytime phone number.
2
Provide the card number, transaction date, post date, disputed amount, and merchant name.
3
Check the appropriate box that best describes your situation.
4
Attach relevant documents to support your claim.
5
Sign and date the form, then send it via mail, fax, or email.
Who needs the PNC Billing Inquiry/Dispute Form?
1
Primary cardholders with billing disputes.
2
Customers who did not receive a credit for a transaction.
3
Cardholders who were billed incorrectly.
4
Individuals who did not authorize a charge.
5
Customers who received damaged or defective merchandise.
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1
Open the PDF form using PrintFriendly.
2
Use the text tool to fill in the required information.
3
Upload and attach any supporting documents.
4
Make any necessary annotations or corrections.
5
Download the edited PDF for submission.

What are the instructions for submitting this form?
Submit the completed form via mail to PNC, P.O. Box 2859, Kalamazoo, MI 49003-2859, or fax to 269-973-1688, or email to billinginquiries@pnc.com. Ensure that all required fields are filled out and relevant documents are attached before submission. Make sure to send the form within 60 days of your statement date to avoid any delays in processing.
What are the important dates for this form in 2024 and 2025?
Submit the form within 60 days of the statement date. Make sure to resolve disputes promptly to avoid delays.

What is the purpose of this form?
The purpose of this form is to facilitate the resolution of billing disputes for PNC bank customers. It allows customers to report errors on their statements and provide necessary documentation for their claims. By completing this form, customers ensure their disputes are properly addressed.

Tell me about this form and its components and fields line-by-line.

- 1. Primary Cardholder Name: Enter the full name of the primary cardholder.
- 2. Daytime Phone: Provide a daytime phone number for contact.
- 3. Card Number: Enter the card number related to the billing dispute.
- 4. Transaction Date: Specify the date of the disputed transaction.
- 5. Post Date: Provide the post date of the transaction.
- 6. Amount in Question: Enter the disputed amount.
- 7. Merchant Name: Provide the name of the merchant related to the transaction.
- 8. Primary Cardholder Signature: Sign the form to certify the information provided.
- 9. Date: Enter the date the form is completed.
- 10. Dispute Reasons: Check the box that best fits your situation and provide additional details as required.
What happens if I fail to submit this form?
Failing to submit this form may result in extended resolution times for your billing dispute.
- Delayed Resolution: Your dispute may take longer to resolve.
- Incomplete Dispute: Missing documents or information could lead to an incomplete dispute process.
- Potential Financial Impact: Outstanding billing issues could negatively impact your account.
How do I know when to use this form?

- 1. Billing Errors: Report any errors on your statement.
- 2. Unauthorized Charges: Dispute charges that you did not authorize.
- 3. Incorrect Amounts: Correct any inaccurately billed amounts.
- 4. Undelivered Merchandise: Report merchandise that was not received.
- 5. Defective Merchandise: Dispute charges for damaged or defective merchandise.
Frequently Asked Questions
How do I fill out the PNC Billing Inquiry/Dispute Form?
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What documents should I attach to the billing dispute form?
Attach any relevant documents such as credit slips, sales slips, proof of returns, or merchant responses.
How do I submit the completed form?
Send the completed form via mail, fax, or email to the addresses provided on the form.
What information do I need to provide on the form?
Provide your name, daytime phone number, card number, transaction details, and description of the dispute.
How long do I have to submit the form?
You must submit the form within 60 days of the statement date on which the error occurred.
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