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{"locationInStore":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"reason","cfef_logic_field_is":"==","cfef_logic_compare_value":"Issue with an in-store order","_id":"772e734"}]},"locationOnline":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"reason","cfef_logic_field_is":"==","cfef_logic_compare_value":"Issue with an online food order","_id":"772e734"}]},"onlinePlatform":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"reason","cfef_logic_field_is":"==","cfef_logic_compare_value":"Issue with an online food order","_id":"772e734"}]},"orderDateInStore":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"reason","cfef_logic_field_is":"==","cfef_logic_compare_value":"Issue with an in-store order","_id":"772e734"}]},"orderDateOnline":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"reason","cfef_logic_field_is":"==","cfef_logic_compare_value":"Issue with an online food order","_id":"772e734"}]},"orderNumber":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"reason","cfef_logic_field_is":"==","cfef_logic_compare_value":"Issue with an online food order","_id":"772e734"}]},"field_f6aab72":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"onlinePlatform","cfef_logic_field_is":"==","cfef_logic_compare_value":"Uber Eats","_id":"772e734"}]},"field_bc31d49":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"reason","cfef_logic_field_is":"==","cfef_logic_compare_value":"Issue with an in-store order","_id":"772e734"}]},"fileUpload":{"display_mode":"show","fire_action":"All","file_types":"jpg,jpeg,png,gif,pdf","logic_data":[{"cfef_logic_field_id":"reason","cfef_logic_field_is":"==","cfef_logic_compare_value":"Issue with an in-store order","_id":"772e734"}]},"FileGeneral":{"display_mode":"show","fire_action":"All","file_types":"jpg,jpeg,png,gif,pdf","logic_data":[{"cfef_logic_field_id":"reason","cfef_logic_field_is":"==","cfef_logic_compare_value":"Other","_id":"772e734"}]}}

First Name

Last Name

Issue

Location In Store

Location Online

Online Platform

Order Date In Store

Order Date Online

Order Number

Message

Refund requests for orders placed through Uber Eats must be submitted directly via the Uber Eats application or website.

Required: For refund requests, please provide a photo or PDF of your receipt, along with an image of the issue, if applicable.

File Upload - Order

File Upload - General

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