Free Cleaning Services Cost Resolution Form Template
Cleaning Services
Cost Resolution Form
Please complete this form to document and request resolution for any discrepancies or issues related to service costs. Ensure all sections are filled out accurately to expedite the resolution process.
Date of Submission:
General Information
|
Date of Service |
Invoice Number |
||
|
Submitted By |
Contact Info |
Description of Cost Discrepancy
|
Description |
Expected Cost |
Actual Cost Charged |
Supporting Documents
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Invoice
-
Contract
-
Other:
Desired Resolution
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Refund
-
Adjustment
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Other:
Explanation
Acknowledgment
By submitting this form, I affirm that the information provided is accurate to the best of my knowledge and understand that additional documentation or discussion may be required to resolve the issue.
[Name]
[Date]
