Credit Card Chargeback letter template

Template preview

[DATE]

[RECIPIENT NAME]
[RECIPIENT ADDRESS]

Re: Billing Error / Chargeback Under 15 U.S.C. § 1666 (Fair Credit Billing Act)

Dear Dispute Resolution:

I am formally disputing the following charge on my account as a billing error under the Fair Credit Billing Act:

Merchant: [MERCHANT NAME]
Date: [CHARGE DATE]
Amount: $[CHARGE AMOUNT]

Facts:
[FACTS]

Requested resolution:
[DESIRED OUTCOME]

Pursuant to 15 U.S.C. § 1666, please acknowledge this dispute within thirty (30) days and resolve it within ninety (90) days. During the investigation, please do not assess interest or fees on the disputed amount.

Sincerely,

[USER FULL NAME]
[USER ADDRESS]

Bracketed fields are filled in automatically from your answers, then rewritten by AI into a professional letter in your own voice.

What you'll need

• • Recipient
• • Recipient address
• • Your name
• • Your address
• • Charge date
• • Charge amount
• • Merchant
• • Facts
• • Desired outcome