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Claim for Reimbursement

Last revision Last revision 29/01/2024
Formats FormatsWord and PDF
Size Size1 page
Fill out the template

Last revisionLast revision: 29/01/2024

FormatsAvailable formats: Word and PDF

SizeSize: 1 page

Fill out the template

This letter is a claim for reimbursement of services or fees paid. In this simple letter, the sender can request a refund for services or fees recently paid. This letter provides a simple way to request a refund for services, fees, recurring subscriptions or other similar items.

It cannot be used to request reimbursement for goods. This letter allows the sender to request a refund when the purpose of their payment has been diverted.


How to use this document?

This document must be completed by the person requesting the refund. It is simple and will only ask for the identity of the parties, the type of payment and finally the recipient's refund policy.

Once this document is completed online, it must be printed and signed, or signed electronically. It must then be sent to the recipient. Ideally, the sender should keep a copy.


Applicable Law

There is no applicable law regulating a situation where someone claims a refund. As a best practice, provide the company with as much information as necessary to assist the recipient of the letter in making a refund.


How to modify the template?

You fill out a form. The document is created before your eyes as you respond to the questions.

At the end, you receive it in Word and PDF formats. You can modify it and reuse it.

Fill out the template