[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP Code] Subject: Disputed Bill — Request foResolutionio— - [Account Number/Invoice Number] Dear [Recipient's Name], I hope this letter finds you well. I am writing to bring to your attention a discrepancy regarding an invoice I received from [Company Name]. After carefully reviewing the itemized bill, I have identified several charges that I believe are incorrect or unjustified. The purpose of this letter is to formally dispute these charges and seek a satisfactory resolution. First and foremost, I would like to express my appreciation for the products/services provided by your company. However, I have noticed several discrepancies in the billing statement for the period of [start date] to [end date]. I have outlined the disputed charges below along with the reasons for my disagreement: 1. [Description of Disputed Charge 1]: [Reason for Dispute — e.g., invoiced for services not rendered/incorrect quantity/incorrect pricing]. 2. [Description of Disputed Charge 2]: [Reason for Dispute — e.g., duplicate charge/no prior agreement/incorrect billing code]. 3. [Description of Disputed Charge 3]: [Reason for Dispute — e.g., unauthorized fees/incorrectly calculated charges/unsatisfactory product/service]. I kindly request that you conduct a thorough investigation into these disputed charges and provide me with a detailed explanation of each item. I would appreciate any supporting documentation or evidence to justify these charges. In accordance with the Fair Credit Billing Act and the terms of the agreement between us, I request that you rectify these disputed charges and adjust my account accordingly. I would like to propose the following resolutions: 1. [Resolved Outcome for Disputed Charge 1]: [Your desired resolution — e.g., removal of charge/correction of quantity/adjustment of price]. 2. [Resolved Outcome for Disputed Charge 2]: [Your desired resolution — e.g., credit for duplicate charge/agreement on billing code correction]. 3. [Resolved Outcome for Disputed Charge 3]: [Your desired resolution — e.g., refund of unauthorized fees/correction of calculation/compensation for unsatisfactory product/service]. Please provide a written response within [mention a reasonable timeframe, e.g., 14 calendar days] from the date of this letter. If a resolution is not reached within this timeframe, I may have no choice but to explore other options, such as seeking assistance from consumer protection agencies or taking legal action to protect my rights as a consumer. I believe in resolving issues through open communication and trust that we can reach a fair and mutually satisfactory resolution. I value the business relationship we have established and hope to continue our association positively. Thank you for your prompt attention to this matter. I have enclosed a copy of the disputed invoice for your reference. Please feel free to contact me at [your preferred contact details] to discuss this matter further. I look forward to hearing from you soon. Yours sincerely, [Your Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.