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Refund request template (US)

A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.

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Refund Request Letter

Your Name

Your Address

Your Email or Phone

Date: Letter Date

To: Business Name

Attn: Customer Service or Contact Name

Business Address or Email

Re: Refund request for order no. Order Number

Dear Contact Name or Customer Service:

On Purchase Date, I bought Product or Service from you for $Amount Paid, paid by Payment Method, with the last four digits of the card if used.

Reason for Refund

Reason, such as the item arrived damaged, was not as described, was never delivered, or the service was not performed

I contacted you on Earlier Contact Dates and Methods, and was told: Earlier Response, or Not Applicable.

Request

Under your return policy, and the warranty or consumer protection laws that apply, please refund $Refund Amount to my original payment method by Refund Deadline. Return Arrangements, such as I have returned the item with tracking number, or Please send a prepaid return label

Copies of my receipt and other records are enclosed: Enclosed Documents.

If I do not receive the refund by that date, I may dispute the charge with my card issuer under the Fair Credit Billing Act, and file a complaint with the state attorney general's consumer protection office or the Better Business Bureau.

Thank you for resolving this promptly.

Sincerely,

Your Signature

Your Printed Name

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