Subject: Disputed Bill — Request for Account Review and Resolution [Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Position] [Company Name] [Company Address] [City, State, ZIP] Dear [Recipient's Name], I hope this message finds you well. I am writing to express my concerns regarding a recent bill I received from [Company Name]. After carefully reviewing the charges and comparing them with the agreed-upon terms, I have noticed discrepancies that prompt me to dispute the bill. To provide you with a comprehensive understanding of the situation, I would like to outline the details of my dispute in a chronological order: 1. Background Information: — Briefly mention the nature of your relationship with the company (e.g., customer, client, consumer). — State the specific service/products provided by the company. 2. Account Statements: — Mention the date(s) of the disputed bill(s). — Include accurate information about the total amount billed and any relevant billing codes or invoice numbers. — Attach copies of the disputed bill(s) along with any supporting documents or evidence you may have. 3. Disputed Charges: — Clearly highlight the specific charges or items that you consider to be incorrect or unjustified, explaining why you dispute them. — Provide a detailed explanation of the discrepancies or errors, referring to any supporting documentation as necessary. — If applicable, reference any past correspondence or agreements that may have relevance to the disputed charges. 4. Attempts to Resolve: — Briefly describe any previous attempts made to address the issue, if applicable. — Mention any conversations or written communication you have had with the company's staff or customer service representatives. — Include dates, names of individuals spoken to, and summaries of discussions. 5. Requested Actions: — Clearly state your desired resolution, such as a corrected bill, adjustment of charges, or a refund. — If necessary, propose potential solutions to resolve the dispute in an amicable manner. — Specify a reasonable time frame within which you expect a response or resolution. 6. Contact Information: — Reiterate your contact details, including your name, address, phone number, and email address. — Request that all future communications regarding this matter be forwarded to you promptly. I trust that you will give my dispute the attention it deserves and resolve it in a fair and timely manner. Please acknowledge receipt of this letter within [time frame], and kindly provide me with a written response addressing each of the points raised in my dispute. If necessary, I am open to discussing this matter further through a phone call or a meeting. Thank you for your prompt attention to this matter. I look forward to receiving your response and mutual cooperation in resolving this dispute. 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.