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AT&T— Notice of Dispute
AT&T is committed to resolving its customers’ disputes in a fair and efficient manner. If you are
unsatisfied with the resolution that a customer service representative offers for a problem that
you are experiencing, you may notify us of your dispute by sending this form to AT&T’s legal
department.
Office for Dispute Resolution, AT&T,
1025 Lenox Park Blvd., Atlanta, GA 30319.
An AT&T representative will respond within 30 days of receiving this form. If the dispute is not
resolved to your satisfaction, you may begin arbitration by submitting a Demand for Arbitration
to the American Arbitration Association. We provide further details on our web site (at
http://www.att.com/disputeresolution), as well as a Demand for Arbitration form.
_____________________________________ _________________________________
Name of account holder Account number
_____________________________________ _________________________________
Mobile phone number Additional number at which you may be
reached during business hours
Your email address: __________________________________________________
Your fax number: ____________________________________________________
Your billing address: __________________________________________________
__________________________________________________
If you are an authorized representative of the account holder, please print your name, your
relationship to the account holder, your address, and a phone number at which you may best be
reached during business hours:
Please briefly describe the relief that you would like from AT&T.
__________________________ _____________________________________
Date Signature
V112013