This form is a sample letter in Word format covering the subject matter of the title of the form.
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]
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]