Dispute Letter Template

Instructions: Send via certified mail with return receipt requested. Keep copies of everything. Fill in the bracketed sections with your specific information.

[Your Name]
[Your Address]
[City, State ZIP]
[Date]

[Company Name]
[Billing/Disputes Department]
[Company Address]
[City, State ZIP]

RE: Dispute of Charge/Error - Account#

Dear Sir or Madam,

I am writing to dispute a billing error/unauthorized charge on my account ending in [last 4 digits].

Description of the Error:

Amount in Dispute: $

Date of Charge:

I am requesting that this error be corrected and the disputed amount be credited to my account. I have enclosed the following supporting documents:

☐ Copy of billing statement
☐ Receipt
☐ Correspondence
☐ Other:

Please investigate this matter and respond to me in writing within 30 days as required by law.

Sincerely,


[Your Signature]
[Your Printed Name]

Enclosures: [List any documents included]

Legal Disclaimer: This is a template for educational purposes only. Modify as needed for your situation. Send via certified mail. Keep copies of all correspondence. For credit report disputes, use specific credit bureau dispute forms.

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