This Bill Dispute Letter is used when disputing an invoice or bill statement. This letter sets out the customer’s name, account or invoice number and balance due, the customer’s balance according to his/her records and the reasons why the customer feels the bill is incorrect. It also requests that the recipient send a revised bill or contact him/her if there are any questions. It is important that any disputes regarding an invoice or statement be set out in writing. A written Bill Dispute Letter will act as a record of the communication between the parties.

This Bill Dispute Letter contains the following:

• Parties: The name and address of both the customer and the company who provided the bill;
• Reference: The specific account or invoice number in dispute;
• Balance: Sets out the balance due on the invoice and the correct balance which the customer feels is owed;
• Bill in Dispute: Sets out the customer’s reasons as to why he or she feels the balance is incorrect;
• Revised Bill: The customer asks that the company contact him if there are questions and to provide a revised bill.

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This attorney-prepared packet contains:

1. Instructions and Checklist
2. Bill Dispute Letter

State Law Compliance: This form complies with the laws of all states