help.venmo.com Open in urlscan Pro
104.18.248.37  Public Scan

Submitted URL: https://help.venmo.com/hc/en-us/requests/new
Effective URL: https://help.venmo.com/hc/en-us/requests/new?ticket_form_id=624807
Submission Tags: falconsandbox
Submission: On February 07 via api from US — Scanned from DE

Form analysis 2 forms found in the DOM

GET /hc/en-us/search

<form role="search" class="search search-full" data-search="" data-instant="true" autocomplete="off" action="/hc/en-us/search" accept-charset="UTF-8" method="get"><input name="utf8" type="hidden" value="✓" autocomplete="off"><input type="search"
    name="query" id="query" placeholder="What are you looking for?" autocomplete="off" aria-label="What are you looking for?"></form>

POST /hc/en-us/requests

<form id="new_request" class="request-form" data-form="" data-form-type="request" action="/hc/en-us/requests" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓" autocomplete="off">
  <div class="form-field select optional request_ticket_form_id"><label for="request_issue_type_select">Which category best describes your problem?</label>
    <a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_32doqdts9" aria-label="Which category best describes your problem?" pa-marked="1" style="max-width: 100%;">Support Request</a><select
      name="request[ticket_form_id]" id="request_issue_type_select" aria-label="Which category best describes your problem?" autofocus="autofocus" style="display: none;">
      <option data-url="https://help.venmo.com/hc/en-us/requests/new" value="-">-</option>
      <option data-url="https://help.venmo.com/hc/en-us/requests/new?ticket_form_id=360001521814" value="360001521814">Document Upload</option>
      <option data-url="https://help.venmo.com/hc/en-us/requests/new?ticket_form_id=624807" selected="selected" value="624807">Support Request</option>
    </select>
  </div>
  <div class="form-field string  required  request_custom_fields_79828207">
    <label id="request_custom_fields_79828207_label" for="request_custom_fields_79828207">Full name</label>
    <input type="text" name="request[custom_fields][79828207]" id="request_custom_fields_79828207" aria-required="true" aria-labelledby="request_custom_fields_79828207_label">
  </div>
  <div class="form-field string  required  request_custom_fields_80224908">
    <label id="request_custom_fields_80224908_label" for="request_custom_fields_80224908">Phone number</label>
    <input type="number" name="request[custom_fields][80224908]" id="request_custom_fields_80224908" step="1" aria-required="true" aria-describedby="request_custom_fields_80224908_hint" aria-labelledby="request_custom_fields_80224908_label">
    <p id="request_custom_fields_80224908_hint">Please enter numbers only; no dashes. If you have a Venmo account, please use the phone number on file.</p>
  </div>
  <div class="form-field string required request_anonymous_requester_email"><label for="request_anonymous_requester_email">Email address on file with Venmo</label>
    <input type="text" name="request[anonymous_requester_email]" id="request_anonymous_requester_email" aria-required="true">
    <p>If you aren't sure or do not have a Venmo account, please enter the email address where you are best reached.</p>
  </div>
  <div class="form-field boolean  optional  request_custom_fields_360000185308">
    <label id="request_custom_fields_360000185308_label" for="request_custom_fields_360000185308">I no longer have access to this email<span class="optional">(optional)</span></label>
    <input name="request[custom_fields][360000185308]" type="hidden" value="off" autocomplete="off"><input aria-required="false" aria-labelledby="request_custom_fields_360000185308_label" type="checkbox" value="on"
      name="request[custom_fields][360000185308]" id="request_custom_fields_360000185308">
  </div>
  <div class="form-field string optional request_custom_fields_360000185328" hidden="">
    <label id="request_custom_fields_360000185328_label" for="request_custom_fields_360000185328">Please enter an email address where we can reach you</label>
    <input type="text" name="request[custom_fields][360000185328]" id="request_custom_fields_360000185328" aria-required="false" aria-labelledby="request_custom_fields_360000185328_label" disabled="">
  </div>
  <div class="form-field string  required  request_subject">
    <label id="request_subject_label" for="request_subject">Subject</label>
    <input type="text" name="request[subject]" id="request_subject" maxlength="150" size="150" aria-required="true" aria-labelledby="request_subject_label">
  </div>
  <div class="suggestion-list" data-hc-class="searchbox" data-hc-suggestion-list="true"></div>
  <div class="form-field string  required  request_custom_fields_30246667">
    <label id="request_custom_fields_30246667_label" for="request_custom_fields_30246667">How can we help?</label>
    <input type="hidden" name="request[custom_fields][30246667]" id="request_custom_fields_30246667" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;I'm a Venmo customer and need help with my account&quot;,&quot;value&quot;:&quot;customer&quot;},{&quot;label&quot;:&quot;I'm not a Venmo customer&quot;,&quot;value&quot;:&quot;non_customer&quot;}]"
      aria-required="true" aria-labelledby="request_custom_fields_30246667_label"
      value=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_x05iqy1ww" aria-required="true" aria-labelledby="request_custom_fields_30246667_label" style="max-width: 100%;" pa-marked="1">-</a>
  </div>
  <div class="form-field string optional request_custom_fields_30635918" hidden="">
    <label id="request_custom_fields_30635918_label" for="request_custom_fields_30635918">What can we help with?</label>
    <input type="hidden" name="request[custom_fields][30635918]" id="request_custom_fields_30635918" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;I see Venmo charges on my bank or credit card statement&quot;,&quot;value&quot;:&quot;unknown_charges&quot;},{&quot;label&quot;:&quot;Other (Please tell us how we can help)&quot;,&quot;value&quot;:&quot;other_not_customer&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_30635918_hint" aria-labelledby="request_custom_fields_30635918_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_t4gxm7am7" aria-required="false" aria-labelledby="request_custom_fields_30635918_label" aria-describedby="request_custom_fields_30635918_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_30635918_hint">Choose the issue that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_30225038" hidden="">
    <label id="request_custom_fields_30225038_label" for="request_custom_fields_30225038">Which best describes your issue?</label>
    <input type="hidden" name="request[custom_fields][30225038]" id="request_custom_fields_30225038" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Signing In&quot;,&quot;value&quot;:&quot;signing_in&quot;},{&quot;label&quot;:&quot;Payments and Requests&quot;,&quot;value&quot;:&quot;payments_and_requests&quot;},{&quot;label&quot;:&quot;Payment Methods&quot;,&quot;value&quot;:&quot;bank_accounts_and_cards&quot;},{&quot;label&quot;:&quot;Venmo Debit Card Question&quot;,&quot;value&quot;:&quot;venmo_card_question&quot;},{&quot;label&quot;:&quot;Account Settings&quot;,&quot;value&quot;:&quot;account_settings&quot;},{&quot;label&quot;:&quot;Bank Transfers&quot;,&quot;value&quot;:&quot;bank_transfers&quot;},{&quot;label&quot;:&quot;Purchasing with Venmo&quot;,&quot;value&quot;:&quot;purchasing_with_venmo&quot;},{&quot;label&quot;:&quot;Security&quot;,&quot;value&quot;:&quot;security&quot;},{&quot;label&quot;:&quot;Business Profiles and Charity Profiles&quot;,&quot;value&quot;:&quot;business_profile&quot;},{&quot;label&quot;:&quot;Selling with Personal Profiles&quot;,&quot;value&quot;:&quot;personal_profiles&quot;},{&quot;label&quot;:&quot;Tax Related Question&quot;,&quot;value&quot;:&quot;tax_related_question&quot;},{&quot;label&quot;:&quot;Venmo Credit Card&quot;,&quot;value&quot;:&quot;venmo_credit_card&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_30225038_hint" aria-labelledby="request_custom_fields_30225038_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_qwptq0opl" aria-required="false" aria-labelledby="request_custom_fields_30225038_label" aria-describedby="request_custom_fields_30225038_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_30225038_hint">Choose the category that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_30586378" hidden="">
    <label id="request_custom_fields_30586378_label" for="request_custom_fields_30586378">Signing In</label>
    <input type="hidden" name="request[custom_fields][30586378]" id="request_custom_fields_30586378" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;I have a new phone number&quot;,&quot;value&quot;:&quot;new_phone_number&quot;},{&quot;label&quot;:&quot;I didn't receive the code to login&quot;,&quot;value&quot;:&quot;code_to_login&quot;},{&quot;label&quot;:&quot;I forgot my password&quot;,&quot;value&quot;:&quot;forgot_my_password&quot;},{&quot;label&quot;:&quot;Other&quot;,&quot;value&quot;:&quot;other_singing_in&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_30586378_hint" aria-labelledby="request_custom_fields_30586378_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_cjei9e4ww" aria-required="false" aria-labelledby="request_custom_fields_30586378_label" aria-describedby="request_custom_fields_30586378_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_30586378_hint">Choose the issue that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_30225418" hidden="">
    <label id="request_custom_fields_30225418_label" for="request_custom_fields_30225418">Payments and Requests</label>
    <input type="hidden" name="request[custom_fields][30225418]" id="request_custom_fields_30225418" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Unknown payer&quot;,&quot;value&quot;:&quot;unknown_payer&quot;},{&quot;label&quot;:&quot;I paid the wrong person&quot;,&quot;value&quot;:&quot;paid_wrong_person&quot;},{&quot;label&quot;:&quot;I sent a payment and it's listed as Incomplete&quot;,&quot;value&quot;:&quot;sent_money_new_user&quot;},{&quot;label&quot;:&quot;Payment limits&quot;,&quot;value&quot;:&quot;payment_limits&quot;},{&quot;label&quot;:&quot;Missing payment&quot;,&quot;value&quot;:&quot;missing_payment&quot;},{&quot;label&quot;:&quot;I was charged incorrectly for a payment&quot;,&quot;value&quot;:&quot;charged_incorrectly_for_a_payment&quot;},{&quot;label&quot;:&quot;Payment mistake&quot;,&quot;value&quot;:&quot;payment_mistake&quot;},{&quot;label&quot;:&quot;I'd like a statement or transaction history&quot;,&quot;value&quot;:&quot;transaction_history&quot;},{&quot;label&quot;:&quot;Other&quot;,&quot;value&quot;:&quot;other_payments_requests&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_30225418_hint" aria-labelledby="request_custom_fields_30225418_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_b1tpn7c6q" aria-required="false" aria-labelledby="request_custom_fields_30225418_label" aria-describedby="request_custom_fields_30225418_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_30225418_hint">Choose the issue that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_30508418" hidden="">
    <label id="request_custom_fields_30508418_label" for="request_custom_fields_30508418">Payment Methods</label>
    <input type="hidden" name="request[custom_fields][30508418]" id="request_custom_fields_30508418" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Bank account verification&quot;,&quot;value&quot;:&quot;bank_account_verification&quot;},{&quot;label&quot;:&quot;Credit card fees&quot;,&quot;value&quot;:&quot;credit_card_fees&quot;},{&quot;label&quot;:&quot;Adding/Deleting a bank account or card&quot;,&quot;value&quot;:&quot;adding_deleting_bank_account_card&quot;},{&quot;label&quot;:&quot;My bank account has failed in the past&quot;,&quot;value&quot;:&quot;bank_account_failed&quot;},{&quot;label&quot;:&quot;Venmo says my bank account or card is already on file&quot;,&quot;value&quot;:&quot;account_card_on_file&quot;},{&quot;label&quot;:&quot;Other&quot;,&quot;value&quot;:&quot;other_accounts_cards&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_30508418_hint" aria-labelledby="request_custom_fields_30508418_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_i8on0evn4" aria-required="false" aria-labelledby="request_custom_fields_30508418_label" aria-describedby="request_custom_fields_30508418_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_30508418_hint">Choose the issue that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_360016855114" hidden="">
    <label id="request_custom_fields_360016855114_label" for="request_custom_fields_360016855114">Venmo Debit Card Question</label>
    <input type="hidden" name="request[custom_fields][360016855114]" id="request_custom_fields_360016855114" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;My Venmo Debit Card is lost or stolen&quot;,&quot;value&quot;:&quot;card_lost_or_stolen&quot;},{&quot;label&quot;:&quot;Dispute a charge (unauthorized, item not received, etc.)&quot;,&quot;value&quot;:&quot;dispute_a_charge&quot;},{&quot;label&quot;:&quot;Other&quot;,&quot;value&quot;:&quot;other_venmo_card_question&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_360016855114_hint" aria-labelledby="request_custom_fields_360016855114_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_pt5fuzo7z" aria-required="false" aria-labelledby="request_custom_fields_360016855114_label" aria-describedby="request_custom_fields_360016855114_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_360016855114_hint">Choose the issue that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_30590838" hidden="">
    <label id="request_custom_fields_30590838_label" for="request_custom_fields_30590838">Account Settings</label>
    <input type="hidden" name="request[custom_fields][30590838]" id="request_custom_fields_30590838" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;My account is frozen&quot;,&quot;value&quot;:&quot;account_frozen&quot;},{&quot;label&quot;:&quot;New email address or phone number&quot;,&quot;value&quot;:&quot;new_email_phone&quot;},{&quot;label&quot;:&quot;Other&quot;,&quot;value&quot;:&quot;other_account_settings&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_30590838_hint" aria-labelledby="request_custom_fields_30590838_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_c05hrmiep" aria-required="false" aria-labelledby="request_custom_fields_30590838_label" aria-describedby="request_custom_fields_30590838_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_30590838_hint">Choose the issue that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_30545777" hidden="">
    <label id="request_custom_fields_30545777_label" for="request_custom_fields_30545777">Bank Transfers</label>
    <input type="hidden" name="request[custom_fields][30545777]" id="request_custom_fields_30545777" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;I have an issue with a bank transfer&quot;,&quot;value&quot;:&quot;missing_bank_transfer&quot;},{&quot;label&quot;:&quot;I don't recognize the account my bank transfer was sent to&quot;,&quot;value&quot;:&quot;wrong_account_transfer&quot;},{&quot;label&quot;:&quot;Other&quot;,&quot;value&quot;:&quot;other_bank_transfers&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_30545777_hint" aria-labelledby="request_custom_fields_30545777_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_3ywmhm3nf" aria-required="false" aria-labelledby="request_custom_fields_30545777_label" aria-describedby="request_custom_fields_30545777_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_30545777_hint">Choose the issue that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_30616507" hidden="">
    <label id="request_custom_fields_30616507_label" for="request_custom_fields_30616507">Purchasing with Venmo</label>
    <input type="hidden" name="request[custom_fields][30616507]" id="request_custom_fields_30616507" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;I have questions about using Venmo to shop in other apps or online&quot;,&quot;value&quot;:&quot;shopping_question&quot;},{&quot;label&quot;:&quot;I had trouble or an issue making a purchase&quot;,&quot;value&quot;:&quot;issue_making_purchase&quot;},{&quot;label&quot;:&quot;I did not receive the item I purchased&quot;,&quot;value&quot;:&quot;did_not_recieve_item&quot;},{&quot;label&quot;:&quot;I'm not happy with the item I received&quot;,&quot;value&quot;:&quot;not_happy_with_item&quot;},{&quot;label&quot;:&quot;I have questions about using Venmo&nbsp;QR&nbsp;codes&nbsp;to shop in stores&quot;,&quot;value&quot;:&quot;questions_about_merchant_qr_codes&quot;},{&quot;label&quot;:&quot;There's an unauthorized purchase on my account&quot;,&quot;value&quot;:&quot;unauthorized_purchase&quot;},{&quot;label&quot;:&quot;Other&quot;,&quot;value&quot;:&quot;other_purchasing_venmo&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_30616507_hint" aria-labelledby="request_custom_fields_30616507_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_a5f4jnol4" aria-required="false" aria-labelledby="request_custom_fields_30616507_label" aria-describedby="request_custom_fields_30616507_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_30616507_hint">Choose the issue that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_30590398" hidden="">
    <label id="request_custom_fields_30590398_label" for="request_custom_fields_30590398">Security</label>
    <input type="hidden" name="request[custom_fields][30590398]" id="request_custom_fields_30590398" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;I see activity on my Venmo account that I didn't authorize&quot;,&quot;value&quot;:&quot;unauth_activity&quot;},{&quot;label&quot;:&quot;I lost my phone and would like to temporarily suspend my account&quot;,&quot;value&quot;:&quot;lost_phone&quot;},{&quot;label&quot;:&quot;I need to report that an account is being impersonated&quot;,&quot;value&quot;:&quot;impersonation_report&quot;},{&quot;label&quot;:&quot;Other&quot;,&quot;value&quot;:&quot;other_security&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_30590398_hint" aria-labelledby="request_custom_fields_30590398_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_da40h6iib" aria-required="false" aria-labelledby="request_custom_fields_30590398_label" aria-describedby="request_custom_fields_30590398_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_30590398_hint">Choose the issue that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_360045157854" hidden="">
    <label id="request_custom_fields_360045157854_label" for="request_custom_fields_360045157854">Business Profiles and Charity Profiles</label>
    <input type="hidden" name="request[custom_fields][360045157854]" id="request_custom_fields_360045157854" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;I have questions about my business profile or charity profile&quot;,&quot;value&quot;:&quot;business_profile_question&quot;},{&quot;label&quot;:&quot;I need help setting up my business profile or charity profile&quot;,&quot;value&quot;:&quot;business_profile_setup_help&quot;},{&quot;label&quot;:&quot;I need help with a transaction on my business profile or charity profile&quot;,&quot;value&quot;:&quot;business_profile_transaction_help&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_360045157854_hint" aria-labelledby="request_custom_fields_360045157854_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_zresfcfn6" aria-required="false" aria-labelledby="request_custom_fields_360045157854_label" aria-describedby="request_custom_fields_360045157854_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_360045157854_hint">Choose the issue that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_8425561201683" hidden="">
    <label id="request_custom_fields_8425561201683_label" for="request_custom_fields_8425561201683">Selling with Personal Profiles</label>
    <input type="hidden" name="request[custom_fields][8425561201683]" id="request_custom_fields_8425561201683" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;I sold something on Venmo and need help with a transaction&quot;,&quot;value&quot;:&quot;sold_something_and_need_help_with_transaction&quot;},{&quot;label&quot;:&quot;Someone paid my personal profile and I was charged a fee&quot;,&quot;value&quot;:&quot;personal_profile_was_charged_a_fee&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_8425561201683_hint" aria-labelledby="request_custom_fields_8425561201683_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_wqm4o6crk" aria-required="false" aria-labelledby="request_custom_fields_8425561201683_label" aria-describedby="request_custom_fields_8425561201683_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_8425561201683_hint">Choose the issue that best fits your problem</p>
  </div>
  <div class="form-field string optional request_custom_fields_80157567" hidden="">
    <label id="request_custom_fields_80157567_label" for="request_custom_fields_80157567">Last four digits of bank or card account number connected to your Venmo account (e.g. "1234")</label>
    <input type="text" name="request[custom_fields][80157567]" id="request_custom_fields_80157567" aria-required="false" aria-describedby="request_custom_fields_80157567_hint" aria-labelledby="request_custom_fields_80157567_label" disabled="">
    <p id="request_custom_fields_80157567_hint">Please note that this information will be used to verify your identity. Confirming your identity when signing in from a new device adds an additional layer of security</p>
  </div>
  <div class="form-field string optional request_custom_fields_80914307" hidden="">
    <label id="request_custom_fields_80914307_label" for="request_custom_fields_80914307">The full <a href="https://help.venmo.com/hc/en-us/articles/209690058" target="_blank" pa-marked="1">routing number</a> for a bank, or, if providing a card, the
      first 6 digits of the card number</label>
    <input type="number" name="request[custom_fields][80914307]" id="request_custom_fields_80914307" step="1" aria-required="false" aria-describedby="request_custom_fields_80914307_hint" aria-labelledby="request_custom_fields_80914307_label"
      disabled="">
    <p id="request_custom_fields_80914307_hint">Please note that this information will be used to verify your identity. Confirming your identity when signing in from a new device adds an additional layer of security</p>
  </div>
  <div class="form-field string optional request_custom_fields_80158427" hidden="">
    <label id="request_custom_fields_80158427_label" for="request_custom_fields_80158427">Verify old phone number on file with Venmo (if it has changed)</label>
    <input type="text" name="request[custom_fields][80158427]" id="request_custom_fields_80158427" aria-required="false" aria-labelledby="request_custom_fields_80158427_label" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_80497308" hidden="">
    <label id="request_custom_fields_80497308_label" for="request_custom_fields_80497308">Date of Payment</label>
    <input type="text" class="datepicker" value="" disabled=""><input type="text" name="request[custom_fields][80497308]" id="request_custom_fields_80497308" data-datepicker="" data-format="YYYY-MM-DD" class="" aria-required="false"
      aria-labelledby="request_custom_fields_80497308_label" readonly="readonly" style="display: none;" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_80497548" hidden="">
    <label id="request_custom_fields_80497548_label" for="request_custom_fields_80497548">Amount of payment</label>
    <input type="text" name="request[custom_fields][80497548]" id="request_custom_fields_80497548" aria-required="false" aria-labelledby="request_custom_fields_80497548_label" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_80112727" hidden="">
    <label id="request_custom_fields_80112727_label" for="request_custom_fields_80112727">Username of person you paid (e.g. @johnsmith)</label>
    <input type="text" name="request[custom_fields][80112727]" id="request_custom_fields_80112727" aria-required="false" aria-labelledby="request_custom_fields_80112727_label" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_17613881505299" hidden="">
    <label id="request_custom_fields_17613881505299_label" for="request_custom_fields_17613881505299">Username of person who paid you (e.g. @johnsmith)</label>
    <input type="text" name="request[custom_fields][17613881505299]" id="request_custom_fields_17613881505299" aria-required="false" aria-labelledby="request_custom_fields_17613881505299_label" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_80497708" hidden="">
    <label id="request_custom_fields_80497708_label" for="request_custom_fields_80497708">Username, phone number and email address of person you meant to pay (e.g. @johnsmith 555-555-5555 johnsmith@johnsmith.com)</label>
    <input type="text" name="request[custom_fields][80497708]" id="request_custom_fields_80497708" aria-required="false" aria-labelledby="request_custom_fields_80497708_label" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_4417779132947" hidden="">
    <label id="request_custom_fields_4417779132947_label" for="request_custom_fields_4417779132947">Was the payment to a merchant?</label>
    <input type="hidden" name="request[custom_fields][4417779132947]" id="request_custom_fields_4417779132947" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Yes&quot;,&quot;value&quot;:&quot;merchpay_yes&quot;},{&quot;label&quot;:&quot;No&quot;,&quot;value&quot;:&quot;merchpay_no&quot;}]"
      aria-required="false" aria-labelledby="request_custom_fields_4417779132947_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_9bjebzhl2" aria-required="false" aria-labelledby="request_custom_fields_4417779132947_label" style="max-width: 100%;" pa-marked="1">-</a>
  </div>
  <div class="form-field string optional request_custom_fields_4521145635731" hidden="">
    <label id="request_custom_fields_4521145635731_label" for="request_custom_fields_4521145635731">Verification Amounts</label>
    <input type="text" name="request[custom_fields][4521145635731]" id="request_custom_fields_4521145635731" aria-required="false" aria-describedby="request_custom_fields_4521145635731_hint" aria-labelledby="request_custom_fields_4521145635731_label"
      disabled="">
    <p id="request_custom_fields_4521145635731_hint">If you used the manual verification option, check your bank statement for two small deposits and two small withdrawals. What were the two separate amounts you found?</p>
  </div>
  <div class="form-field string optional request_custom_fields_80497488" hidden="">
    <label id="request_custom_fields_80497488_label" for="request_custom_fields_80497488">Date of Transfer</label>
    <input type="text" class="datepicker" value="" disabled=""><input type="text" name="request[custom_fields][80497488]" id="request_custom_fields_80497488" data-datepicker="" data-format="YYYY-MM-DD" class="" aria-required="false"
      aria-labelledby="request_custom_fields_80497488_label" readonly="readonly" style="display: none;" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_80112567" hidden="">
    <label id="request_custom_fields_80112567_label" for="request_custom_fields_80112567">Amount of transfer</label>
    <input type="text" name="request[custom_fields][80112567]" id="request_custom_fields_80112567" aria-required="false" aria-labelledby="request_custom_fields_80112567_label" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_80165067" hidden="">
    <label id="request_custom_fields_80165067_label" for="request_custom_fields_80165067">Last four digits of the account where this charge appeared</label>
    <input type="text" name="request[custom_fields][80165067]" id="request_custom_fields_80165067" aria-required="false" aria-labelledby="request_custom_fields_80165067_label" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_80112527" hidden="">
    <label id="request_custom_fields_80112527_label" for="request_custom_fields_80112527">Date of purchase</label>
    <input type="text" class="datepicker" value="" disabled=""><input type="text" name="request[custom_fields][80112527]" id="request_custom_fields_80112527" data-datepicker="" data-format="YYYY-MM-DD" class="" aria-required="false"
      aria-labelledby="request_custom_fields_80112527_label" readonly="readonly" style="display: none;" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_80165047" hidden="">
    <label id="request_custom_fields_80165047_label" for="request_custom_fields_80165047">Amount of purchase</label>
    <input type="text" name="request[custom_fields][80165047]" id="request_custom_fields_80165047" aria-required="false" aria-labelledby="request_custom_fields_80165047_label" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_80160327" hidden="">
    <label id="request_custom_fields_80160327_label" for="request_custom_fields_80160327">Merchant (e.g. Poshmark, Munchery, etc.)</label>
    <input type="text" name="request[custom_fields][80160327]" id="request_custom_fields_80160327" aria-required="false" aria-labelledby="request_custom_fields_80160327_label" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_80161667" hidden="">
    <label id="request_custom_fields_80161667_label" for="request_custom_fields_80161667">Tracking number</label>
    <input type="text" name="request[custom_fields][80161667]" id="request_custom_fields_80161667" aria-required="false" aria-labelledby="request_custom_fields_80161667_label" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_17575212942739" hidden="">
    <label id="request_custom_fields_17575212942739_label" for="request_custom_fields_17575212942739">Have you contacted the merchant?</label>
    <input type="hidden" name="request[custom_fields][17575212942739]" id="request_custom_fields_17575212942739" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Yes&quot;,&quot;value&quot;:&quot;contacted_merch_y&quot;},{&quot;label&quot;:&quot;No&quot;,&quot;value&quot;:&quot;contacted_merch_n&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_17575212942739_hint" aria-labelledby="request_custom_fields_17575212942739_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_euuxdd2vc" aria-required="false" aria-labelledby="request_custom_fields_17575212942739_label" aria-describedby="request_custom_fields_17575212942739_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_17575212942739_hint">Please note we can only accept your claim if you have already contacted the merchant and failed to resolve the issue with them</p>
  </div>
  <div class="form-field string optional request_custom_fields_17612834067219" hidden="">
    <label id="request_custom_fields_17612834067219_label" for="request_custom_fields_17612834067219">Have you tried contacting the recipient?</label>
    <input type="hidden" name="request[custom_fields][17612834067219]" id="request_custom_fields_17612834067219" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Yes&quot;,&quot;value&quot;:&quot;contacted_recipient_y&quot;},{&quot;label&quot;:&quot;No&quot;,&quot;value&quot;:&quot;contacted_recipient_n&quot;}]"
      aria-required="false" aria-describedby="request_custom_fields_17612834067219_hint" aria-labelledby="request_custom_fields_17612834067219_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_wkechkdij" aria-required="false" aria-labelledby="request_custom_fields_17612834067219_label" aria-describedby="request_custom_fields_17612834067219_hint" style="max-width: 100%;" pa-marked="1">-</a>
    <p id="request_custom_fields_17612834067219_hint">If you know the recipient, have you talked to them about this payment mistake?</p>
  </div>
  <div class="form-field string optional request_custom_fields_17575322336275" hidden="">
    <label id="request_custom_fields_17575322336275_label" for="request_custom_fields_17575322336275">Have you disputed this purchase with your bank or card issuer?</label>
    <input type="hidden" name="request[custom_fields][17575322336275]" id="request_custom_fields_17575322336275" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Yes&quot;,&quot;value&quot;:&quot;disputed_y&quot;},{&quot;label&quot;:&quot;No&quot;,&quot;value&quot;:&quot;disputed_n&quot;}]"
      aria-required="false" aria-labelledby="request_custom_fields_17575322336275_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_of0hi8t2c" aria-required="false" aria-labelledby="request_custom_fields_17575322336275_label" style="max-width: 100%;" pa-marked="1">-</a>
  </div>
  <div class="form-field text optional request_custom_fields_80161647" hidden="">
    <label id="request_custom_fields_80161647_label" for="request_custom_fields_80161647">Please describe how this item differs from the item you originally purchased</label>
    <textarea name="request[custom_fields][80161647]" id="request_custom_fields_80161647" aria-required="false" aria-labelledby="request_custom_fields_80161647_label" disabled=""></textarea>
  </div>
  <div class="form-field string optional request_custom_fields_80547268" hidden="">
    <label id="request_custom_fields_80547268_label" for="request_custom_fields_80547268">Date activity occurred</label>
    <input type="text" class="datepicker" value="" disabled=""><input type="text" name="request[custom_fields][80547268]" id="request_custom_fields_80547268" data-datepicker="" data-format="YYYY-MM-DD" class="" aria-required="false"
      aria-labelledby="request_custom_fields_80547268_label" readonly="readonly" style="display: none;" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_80165107" hidden="">
    <label id="request_custom_fields_80165107_label" for="request_custom_fields_80165107">Amount of payment</label>
    <input type="text" name="request[custom_fields][80165107]" id="request_custom_fields_80165107" aria-required="false" aria-labelledby="request_custom_fields_80165107_label" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_16180340876691" hidden="">
    <label id="request_custom_fields_16180340876691_label" for="request_custom_fields_16180340876691">Username of your account</label>
    <input type="text" name="request[custom_fields][16180340876691]" id="request_custom_fields_16180340876691" aria-required="false" aria-labelledby="request_custom_fields_16180340876691_label" disabled="">
  </div>
  <div class="form-field string request_custom_fields_16180364115987 optional" hidden="">
    <label id="request_custom_fields_16180364115987_label" for="request_custom_fields_16180364115987">Username of the account you're reporting</label>
    <input type="text" name="request[custom_fields][16180364115987]" id="request_custom_fields_16180364115987" aria-required="true" aria-labelledby="request_custom_fields_16180364115987_label" disabled="">
  </div>
  <div class="form-field string request_custom_fields_16180392288915 optional" hidden="">
    <label id="request_custom_fields_16180392288915_label" for="request_custom_fields_16180392288915">Name on the account you're reporting</label>
    <input type="text" name="request[custom_fields][16180392288915]" id="request_custom_fields_16180392288915" aria-required="true" aria-labelledby="request_custom_fields_16180392288915_label" disabled="">
  </div>
  <div class="form-field string request_custom_fields_16180400899219 optional" hidden="">
    <label id="request_custom_fields_16180400899219_label" for="request_custom_fields_16180400899219">Date of activity</label>
    <input type="text" class="datepicker" value="" disabled=""><input type="text" name="request[custom_fields][16180400899219]" id="request_custom_fields_16180400899219" data-datepicker="" data-format="YYYY-MM-DD" class="" aria-required="true"
      aria-labelledby="request_custom_fields_16180400899219_label" readonly="readonly" style="display: none;" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_21412162907411" hidden="">
    <label id="request_custom_fields_21412162907411_label" for="request_custom_fields_21412162907411">Statement Start Date</label>
    <input type="text" class="datepicker" value="" disabled=""><input type="text" name="request[custom_fields][21412162907411]" id="request_custom_fields_21412162907411" data-datepicker="" data-format="YYYY-MM-DD" class="" aria-required="false"
      aria-labelledby="request_custom_fields_21412162907411_label" readonly="readonly" style="display: none;" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_21412193048339" hidden="">
    <label id="request_custom_fields_21412193048339_label" for="request_custom_fields_21412193048339">Statement End Date</label>
    <input type="text" class="datepicker" value="" disabled=""><input type="text" name="request[custom_fields][21412193048339]" id="request_custom_fields_21412193048339" data-datepicker="" data-format="YYYY-MM-DD" class="" aria-required="false"
      aria-labelledby="request_custom_fields_21412193048339_label" readonly="readonly" style="display: none;" disabled="">
  </div>
  <div class="form-field string optional request_custom_fields_17612927146003" hidden="">
    <label id="request_custom_fields_17612927146003_label" for="request_custom_fields_17612927146003">Will you attach a screenshot showing the payment notification?</label>
    <input type="hidden" name="request[custom_fields][17612927146003]" id="request_custom_fields_17612927146003" autocomplete="off"
      data-tagger="[{&quot;label&quot;:&quot;-&quot;,&quot;value&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Yes, the screenshot is attached&quot;,&quot;value&quot;:&quot;screenshot_y&quot;},{&quot;label&quot;:&quot;No, I cannot provide any screenshot&quot;,&quot;value&quot;:&quot;screenshot_n&quot;}]"
      aria-required="false" aria-labelledby="request_custom_fields_17612927146003_label" value=""
      disabled=""><a class="nesty-input" tabindex="0" aria-haspopup="true" aria-expanded="false" aria-controls="_3vlwbzt08" aria-required="false" aria-labelledby="request_custom_fields_17612927146003_label" style="max-width: 100%;" pa-marked="1">-</a>
  </div>
  <div class="form-field text  required  request_description">
    <label id="request_description_label" for="request_description">Tell us what’s up</label>
    <textarea name="request[description]" id="request_description" aria-required="true" aria-labelledby="request_description_label"></textarea><input type="hidden" name="request[description_mimetype]" id="request_description_mimetype"
      value="text/plain" style="display: none;" autocomplete="off">
  </div>
  <div class="form-field string  optional  request_custom_fields_1500004368201" style="display: none;">
    <label id="request_custom_fields_1500004368201_label" for="request_custom_fields_1500004368201"><span class="optional">(optional)</span></label>
    <input type="text" name="request[custom_fields][1500004368201]" id="request_custom_fields_1500004368201" aria-required="false" aria-labelledby="request_custom_fields_1500004368201_label">
  </div>
  <div class="form-field string  optional  request_custom_fields_1500004443122" style="display: none;">
    <label id="request_custom_fields_1500004443122_label" for="request_custom_fields_1500004443122"><span class="optional">(optional)</span></label>
    <input type="text" name="request[custom_fields][1500004443122]" id="request_custom_fields_1500004443122" aria-required="false" aria-labelledby="request_custom_fields_1500004443122_label">
  </div>
  <div class="form-field string  optional  request_custom_fields_21125278682899" style="display: none;">
    <label id="request_custom_fields_21125278682899_label" for="request_custom_fields_21125278682899">How did you find this form?<span class="optional">(optional)</span></label>
    <input type="text" name="request[custom_fields][21125278682899]" id="request_custom_fields_21125278682899" aria-required="false" aria-labelledby="request_custom_fields_21125278682899_label">
  </div>
  <div class="form-field string  optional  request_custom_fields_24043543942291" style="display: none;">
    <label id="request_custom_fields_24043543942291_label" for="request_custom_fields_24043543942291">Referrer<span class="optional">(optional)</span></label>
    <input type="text" name="request[custom_fields][24043543942291]" id="request_custom_fields_24043543942291" aria-required="false" aria-labelledby="request_custom_fields_24043543942291_label">
  </div>
  <div class="form-field string  optional  request_custom_fields_9004819947795" style="display: none;">
    <label id="request_custom_fields_9004819947795_label" for="request_custom_fields_9004819947795">Contact Submission ID<span class="optional">(optional)</span></label>
    <input type="number" name="request[custom_fields][9004819947795]" id="request_custom_fields_9004819947795" step="1" aria-required="false" aria-labelledby="request_custom_fields_9004819947795_label">
  </div>
  <div class="form-field boolean  optional  request_custom_fields_25740293326867" style="display: none;">
    <label id="request_custom_fields_25740293326867_label" for="request_custom_fields_25740293326867">Requesting Code<span class="optional">(optional)</span></label>
    <input name="request[custom_fields][25740293326867]" type="hidden" value="off" autocomplete="off"><input aria-required="false" aria-labelledby="request_custom_fields_25740293326867_label" type="checkbox" value="on"
      name="request[custom_fields][25740293326867]" id="request_custom_fields_25740293326867">
  </div>
  <div class="form-field boolean  optional  request_custom_fields_1500013182401" style="display: none;">
    <label id="request_custom_fields_1500013182401_label" for="request_custom_fields_1500013182401">Accessibility Request<span class="optional">(optional)</span></label>
    <input name="request[custom_fields][1500013182401]" type="hidden" value="off" autocomplete="off"><input aria-required="false" aria-labelledby="request_custom_fields_1500013182401_label" type="checkbox" value="on"
      name="request[custom_fields][1500013182401]" id="request_custom_fields_1500013182401">
  </div>
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