Subject: Disputed Bill: Request for Clarification — [Account Number] [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Position] [Company Name] [Company Address] [City, State, ZIP Code] Dear [Recipient's Name], I hope this letter finds you well. I am writing to address a discrepancy in the billing statement I recently received from [Company Name] for [specific service/product] provided on [date(s)]. Firstly, I want to express my appreciation for the promptness and professionalism with which [Company Name] has previously handled my account. However, upon reviewing the bill, I noticed an error or inconsistency that needs clarification to ensure accurate billing. I have outlined the details below for your reference: 1. Account Information: — Account Number: [Account Number— - Customer Name: [Your Name] — Billing Period: [Specific time frame] 2. Concerned Billing Issue(s): — [Describe the specific item(s) in dispute]: — [Item/Service Description— - [Date of Incident/Service] — [Cost/Charge— – [please specify if any discount or promotion applies] — [Any reference numbers associated with the disputed items] 3. Explanation of Disputed Amount: — [Provide a clear explanation of why you believe the bill is incorrect] — [Reference any prior discussions, agreements, or arrangements made with the company] — [Mention any relevant supporting documentation attached, such as receipts, contracts, or agreements] I kindly request that you investigate this matter and provide me with a detailed breakdown of the charges in question, including supporting documentation, within [state a reasonable timeframe, e.g., 14 days]. Additionally, if the discrepancy is found to be an error on [Company Name]'s part, I request that you correct the billing statement accordingly and provide an updated copy. To recap, I remain sincere in my appreciation for the products/services provided by [Company Name], and I believe this billing issue can be resolved amicably. I am confident that your team will investigate and respond promptly to resolve this dispute. Thank you for your time and attention to this matter. I value our business relationship and look forward to your prompt response. 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.