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Here Is Your Dispute Story Intake Form

Collect and Organize Your Evidence

Gather Your Evidence At least one or more of the following: Contracts, receipts, messages, voicemails, recordings, photos, and bank statements. 

Protect Your Privacy

Redact: Hide full bank/credit card numbers, phone numbers, and email addresses. Leave last 4 digits visible (e.g., XXXX-1234). How: Use a black marker on printed copies before you scan them or photograph them with your phone. You can use a blur app if you have one too. Why: Protects your privacy and prevents legal issues.

Write Your Story 

Your story should be a summary. Fill in the boxes below. Use this structure to break it up:

  1. Introduction (up to 200 words): One sentence summary: I paid for 4 cords of firewood but Joe Shady only delivered two. He keeps promising to deliver the rest but never does. Its been six weeks. 
  2. What Happened (up to 200 words): Describe events chronologically with specific dates and details.
  3. Evidence (up to 200 words): List and briefly describe your evidence is. Example canceled checks, pictures, contract, emails, texts
  4. Resolution Attempts (up to 200 words): Detail your efforts to fix the situation
  5. Impact (up to 200 words): Explain personal consequences and why readers should care

Tips: Write like you're telling a friend. Use sensory details and emotions. Stick to facts, not rants.

Upload Requirements

You can attach your evidence by uploading it or drag and dropping it into the boxes below. Accepted formats: JPG, GIF, PNG, PDF, MP3, WAV (up to 128 MB each). Watch for: Success or Error messages—fix errors and retry

Before Submitting

  • Verify accuracy: Double-check all dates, amounts, and names
  • Fill required fields: Look for red asterisks. Use "N/A" if a field doesn't apply
  • Save progress: Click save at the bottom to finish later

Remember: All information must be truthful and accurate. False information risks rejection or legal trouble.