2000B-Billing, Privacy, or Service Quality Complaint

Consumer Information


    (Complete only if you are filing this complaint on behalf of a company or an organization.)

    (Official Post Office Box Number Only)
Mailing Address (where mail is delivered)
City:
 
State:
Zip Code:

Telephone Number (Residential or Business): )- -  

Form 2000B - Billing, Privacy, or Service Quality Complaint

*** ANSWER EACH QUESTION THAT APPLIES TO YOUR SPECIFIC COMPLAINT ***
1. Telephone number(s) involved (including area code):
 
     )- -  
 
     )- -  
2.
3.
4.
If you are disputing charges on a telephone bill, complete the following:
     
  1. Disputed amount: $    Enter amount without comma (Example: 1234.56)
  2. Have you paid any of the disputed charges?
  3. Did the billing company adjust or refund the disputed charges?
  4. If yes, what was the amount of the adjustment or refund? $   Enter amount without comma (Example: 1234.56)
  5. Are the disputed charges related to additional services?
5.
 
    Character Count:0    (1,000 Characters max)
ATTACH FILES:  How do you want to attach files related to this complaint?