Fillable Payment Reversal Request Form (Law for All South Africa)

Fill Online, Printable, Fillable, Blank Payment Reversal Request Form (Law for All South Africa) Form

Use Fill to complete blank online LAW FOR ALL SOUTH AFRICA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Payment Reversal Request Form (Law for All South Africa)

On average this form takes 10 minutes to complete

The Payment Reversal Request Form (Law for All South Africa) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 41 other fields

Country of origin: SOUTH-AFRICA
File type: PDF

Use our library of forms to quickly fill and sign your Law for All South Africa forms online.

BROWSE LAW FOR ALL SOUTH AFRICA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Payment Reversal Request Form
This form consists of the following parts:
Instructions
• This form must be completed in full and signed by the
accountholder/mandated representative.
• The completed form must be emailed to
fnbdigitalrecalls@fnb.co.za.
• You will receive an automated response with a reference number for
the reversal request.
• If this reference number is not received within 15 (fifteen) minutes,
please contact the bank on the number at the back of your card for
further assistance.
Conditions
• The bank does not guarantee a successful reversal and all reversals
are attempted on a best effort basis.
• The bank must obtain authority from the recipient before a reversal
can be attempted.
• The balance available in the recipient’s account must be equal to or
exceed the amount paid/received.
• Reversals can only be attempted within 30 (thirty) calendar days
from the date of payment.
• A partial reversal/recovery of funds is not possible.
• A Reversal fee is charged at R325.50 (inclusive of VAT) per
transaction, this fee is non-refundable.
• You will be charged a reversal fee irrespective of the result of the
reversal attempt.
• There may be times where the Bank may not be able to affect a
reversal request. In such instances, the bank may, in good faith,
provide you with further details to assist you in approaching the
recipient directly to recover your funds. You must complete and
submit this form to fnbdigitalrecalls@fnb.co.za. Please note that
this request will be subject to a fee of R325.50 (inclusive of VAT)
per transaction.
• Reversals will be attempted within 10 (ten) working days of the
bank receiving this form.
• Feedback on the reversal attempt will be provided after 10 (ten)
working days from the bank receiving this form.
• Payment Reversals are not possible for:
- Payments in excess of R5,000,000.00 (Five Million Rand)
- Payments using the Schedule Payments function.
- Payments using the Pay & Clear Now function.
In the above instances, the bank may, in good faith, provide you with
further details to assist you in approaching the recipient directly to
recover your funds. You must complete and submit this form to
fnbdigitalrecalls@fnb.co.za. Please note that this request will be
subject to a fee of R325.50 (inclusive of VAT) per transaction.
• If you have made a payment to an account listed below, please
contact the respective department/service provider directly for
further assistance.
- Public recipient accounts such as Edgars, SARS and Telkom etc.
- Investment accounts such as 32-day notice accounts etc.
- Vehicle Finance accounts.
- Credit Card account.
- Any loan account such as Home Loan, Personal Loan etc.
- eBucks Payments made to another eBucks account.
• The terms and conditions for electronic payments is applicable and
can be accessed on www.fnb.co.za, by selecting “Product Terms and
Conditions” under the “About FNB + Legal” tab.
• Where you believe a fraudulent transaction has taken place, the
transaction must rather be reported to the bank’s fraud
department. To proceed with reporting the transaction with the
bank’s Fraud Department contact the bank immediately on 087
575 9444.
You will be required to submit the following
information/documentation to the bank’s Fraud Department:
- Account number of the complainant
- Suspected fraudulent account details
- SAPS case details
- An Affidavit
- Supporting documents (Proof of Payment)
• Instructions
• Conditions
• Payment reversal request details
• Indemnity and waiver
A division of FirstRand Bank Limited. An Authorised Financial Services and Credit Provider (NCRCP20). Reg. No. 1929/001225/06.
Payment Reversal Request Form
This form consists of the following parts:
Account
Number
Account
Holder Name
If there is insufficient space below, please complete additional spreadsheet with all details.
If we identify that the payment was a Pay & Clear Now or Schedule Payment that cannot be reversed, would
you like the bank to assist you further in the recovery of your funds at a cost of
R325.50
(inclusive of VAT)
per transaction? (see Conditions)
Branch
Code
Payer account details (i.e. Account to which the reversal charge shall be debited).
Beneficiary account details (i.e. Account details of the recipient).
Account Number Branch Code Bank Transaction Date Reason for Reversal
Amount
Payment reversal request details
• Instructions
• Conditions
• Payment reversal request details
• Indemnity and waiver
Indemnity and Waiver
Contact
Number
Contact
Name
From
Acc No.
Date
Email
Address
Account
Holder Name
No
Yes
• You indemnify and hold the bank harmless against any loss, damage
or claim, (direct, indirect and consequential) which may be sustained
as a result of the bank’s action in effecting the reversal of the
transaction/s and/or for instructing another bank to reverse these
transactions, which waiver and indemnity the bank accepts, acting
upon the instruction referred to above and which purports to have
been issued or authorised by you.
• You further authorise the bank to debit the nominated account/s for
charges associated with the reversal request and you indemnify the
bank against any loss, damage or claim (direct, indirect and
consequential) that the bank may suffer because you have not paid
the costs or fees associated with this reversal request.
• By signing the below, you confirm that you have read and
understood the content of this document and you accept the
conditions and the indemnity and waiver herein.
A division of FirstRand Bank Limited. An Authorised Financial Services and Credit Provider (NCRCP20). Reg. No. 1929/001225/06.
Designation
Name
Signature*
Who warrants
that he/she is
duly authorised
thereto
Designation
Name
Signature*
Who warrants
that he/she is
duly authorised
thereto
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Payment Reversal Request Form (Law for All South Africa)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 13 July 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document