Code of Conduct for the Payment Card Industry in Canada Complaint Handling Form

Chase Merchant Services supports the transparency and choice the Code of Conduct for the Payment Card Industry in Canada provides to merchants.

If you believe that Chase Merchant Services is not complying with a particular element of the Code of Conduct, please complete the below form, or call us toll free 24 hours a day, 7 days a week at 1.800.265.5158.

Required fields are marked with an asterisk*.

Merchant Information

First Name *

Last Name *

Merchant Business Name *

Merchant Street Address *

City *

Province/Territory *

Postal Code *

Merchant Number *

Telephone Number *

Email Address *

Service Provider Information

Name of Acquirer
(for example: Chase Paymentech)

Name of Payment Processor
(for example: name of Independent Sales Organization)

Name of Acquirer Representative

Code Of Conduct Complaint Details

Select Complaint Category *

Please provide a summary of your complaint

Date Complaint Reported (mm/dd/yyyy)

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By submitting this form, you agree that Chase Merchant Services may contact you to discuss your Code of Conduct escalation.

Code of Conduct for the Payment Card Industry in Canada Complaint Handling Form

Merchant Information

Service Provider Information

Code Of Conduct Complaint Details

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