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Complaint to a service provider 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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Preview — US standard

Complaint to a Service Provider

Your Name

Your Address

Your Email or Phone

Account or customer number: Account Number

Date: Letter Date

To: Company Name

Attn: Customer Relations or Complaints Department

Company Address or Email

Re: Complaint about Service Concerned

Dear Sir or Madam:

I am writing to complain about the service I received from Company Name.

What Happened

Description of the Problem, with Dates, Places and Names of Staff if Known

Effect on Me

How the Problem Affected You, including any costs

Steps Already Taken

Earlier Contacts, Reference Numbers and Responses

What I Ask

To resolve this, I ask that you: Requested Resolution, such as a refund of a given amount, a credit, a repair or a replacement, by Response Deadline.

Copies of relevant records are enclosed: Enclosed Documents.

If I do not receive a satisfactory response by that date, I may take this matter to Next Step, such as the state public utility commission, state attorney general consumer protection office, licensing board or Better Business Bureau.

Thank you for your attention. I look forward to your reply.

Sincerely,

Your Signature

Your Printed Name

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