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Letter to Correct Billing Error - Template, Sample Form

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Sent by: ________

RE: Notice of Billing Error — Account No. ________

Dear Sir or Madam:

§ 1. Purpose of this Letter. I am writing to formally dispute a billing error that appears on my account identified above, in accordance with my rights under the applicable consumer protection legislation of the Province of ________ and the terms of the agreement governing my account.

§ 2. Particulars of the Disputed Charge.

  1. The disputed charge is in the amount of $________ (________).
  2. The charge is dated ________ and is described on my statement as ________.
  3. The charge appears on my account statement dated ________, a copy of which is enclosed with this letter.

§ 4. Requested Correction. I respectfully request that you take the following steps:

  1. investigate the disputed charge and correct the billing error promptly;
  2. remove the disputed charge from my account, together with any related interest, finance charges, late fees, or other charges that may have accrued as a result of this error;
  3. credit my account in full for the amount in dispute and any associated charges;
  4. confirm to me in writing that the correction has been made and that my account has been properly credited; and
  5. send me an updated and accurate statement reflecting the correction.

§ 6. Request for Timely Response. Please acknowledge receipt of this letter and provide a substantive written response within ________ days of the date of this letter. I may be contacted at ________ or by email at ________.

§ 7. Enclosures. Enclosed please find a copy of the account statement showing the disputed charge and the following supporting documents: ________.

Thank you for your prompt attention to this matter.


Yours truly,


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Signature: ________

Encl.

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