Debit Card Transactions Dispute Form

This information is issued by UBS Switzerland AG and/or its subsidiaries and/or its affiliates ("UBS", "we").

LEGAL NOTE

The data transmitted with this form via the internet to UBS is encrypted. However, there is still the possibility that unauthorized third parties may be able to gain access to the data transmitted via this form, especially through malware on a computer. By using this form to transmit confidential data (e.g., an account number) you accept the risk of disclosing the banking relationship and banking client information to third parties, and release UBS from any liability for losses from the use of this form, as permitted by law.

By providing your telephone number and/or e-mail address above you expressly approve UBS contacting you via telephone and/or via unsecured e-mail. By providing your email address, you agree that we send you marketing communication from UBS in regular intervals (such as newsletters). Please note that you can revoke your consent at any time by unsubscribing from UBS e-mails, by contacting your UBS client advisor or by raising a data subject request.

Please be aware that the use of e-mail can involve substantial risks such as lack of confidentiality, potential manipulation of contents or sender’s address, wrong recipient, viruses etc. UBS assumes no responsibility for any loss or damage resulting from the use of e-mails. UBS recommends that you do not send any sensitive information via e-mail, that you do not include details of the previous message in any reply, and that you enter e-mail addresses manually every time you write an e-mail. UBS never requests the disclosure of personal means of access (e.g., username, contract number, passwords, or security codes) via e-mail or telephone. If you receive such a request, it could be a phishing attempt, which you can report via www.ubs.com/phishing.

UBS does not accept any transaction orders for your UBS customer relation submitted via this form, including but not limited to account openings, payment or stock market transaction orders, revocation of orders or authorizations, blocking of credit cards, changes of address. Please contact the appropriate branch or your client advisor for such transactions.

PRIVACY DISCLAIMER

We collect and process the information you enter in above fields ("Personal Data") for the purpose of engaging in prospecting and business development and/or protecting and enhancing the UBS brand (the "Purpose"). Your personal data may be passed on to companies of the UBS Group, external service providers of UBS and other third parties in Switzerland and processed by them in order to fulfill the Purpose.

Following your contact request, we may provide you with marketing information we consider to be of interest to you. Thereby, we may collect details of your interaction with e-mails that we send to you for client relationship management and/or business development purposes (such as whether you open e-mails and what content you are interested in), to evaluate whether and how we may offer products, services and events that may be of interest to you. You can revoke your consent at any time by unsubscribing from UBS e-mails, by contacting your UBS client advisor or by raising a data subject request.

For more information about how we process your data, your rights in respect of your data and the contact details of our Group Data Protection Office please read our Privacy Disclaimer for marketing activities and our Privacy Statement, accessible via links below.