Card vending terminal with charging function

Step 1 1 of 5

Step 1 of 5

Before we can assist you, we will need additional information about your transaction. Please follow the below steps to provide us with the relevant information so that we can handle your request.

What was your purchase?

Please choose what you wanted to charge*

Please make your selection

Choose the purchased balance in Euros*

Please fill in the balance you have purchased in Euros

You have chosen to charge a different amount than 5, 10, 20, 30, 50 Euro supplement OV-chipcard. Then your charging transaction involves the purchase of a travel product instead of replenishing your balance. For your inquiries, please contact the appropriate transporter.

Choose the carrier that made the charging transaction*

Please fill in the carrier that made the charging transaction

Continue

Step 2 of 5

Where did you use the OV-charging terminal?

Where did you try to recharge your OV-chipcard*

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Select the location*

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OV-charging terminal*

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Address*

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Zip code*

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City*

Please fill in your city

Step 3 of 5

What are the details of your transaction?

Transaction date*

Please select the transaction date

Transaction time*

Please select the transaction time

Complaint*

Please write your complaint

Please upload a proof of payment such as a copy of a bank statement and/or a copy of your receipt.

Add an attachment

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The permitted formats are: .png, .jpeg, .pdf, .doc and .docx with max size 2500 KB

Add another attachment

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The permitted formats are: .png, .jpeg, .pdf, .doc and .docx with max size 2500 KB

Step 4 of 5

Your personal information

Title*

Mr.Ms.Please make your selection

Name and Surname*

Please fill in your name and surname

Address*

Please fill in your address

House number*

Please fill in your house number

Zip code*

Please fill in your zip code

City*

Please fill in your city

Phone number*

Please fill in the phone number

For example: 0031123456789

E-mail*

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OV-chipcard number*

Please fill in the OV-chip card number

For example: 3528-0888-8888-8888

IBAN-Number*

Please fill in your IBAN-Number

For example: NL00BANK0123456789

Initials and Name cardholder*

Please fill in the initials and name cardholder

Birthdate cardholder*

Please fill in the birthdate cardholder

For example: 21-01-1986

Step 5 of 5

You are almost finished with the refund form! Please review the information you provided before submitting the request.

You have provided the following information:

What was your purchase?

You wanted to charge:

The purchased balance in Euros:

Where did you use the OV-charging terminal?

OV-charging terminal:

Address:

Zip code:

City:

Your transaction details

Transaction date:

Transaction time:

Comment:

Attachment:

Attachment extra:

Personal information

Gender:

Name:

Address:

House number:

Zip code:

City:

Phone number:

E-mail:

OV-chipcard number:

IBAN-Number:

Name cardholder:

Birthdate cardholder:

Statement of approval*

All the details are correct. I declare that I have answered my question fully and truthfully. By sending the request I give permission for further research into the transactions on my OV-chip card.Bevestig auv uw akkorverklaring

Anti-spam control*

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