Notice of Dispute
Cricket Wireless LLC ("Cricket") 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 Cricket's legal department or you can submit electronically here: https://attlegaldepartment.force.com/CricketNOD/s/.
Please complete this form in its entirety (printing legibly). Retain a copy for your records and send the completed form by certified U.S. mail to:
Office of Dispute Resolution, Cricket Wireless LLC, 1025 Lenox Park Blvd., 5th Floor Atlanta, GA 30319.
A Cricket 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 https://www.cricketwireless.com/legal-info/arbitration.html), as well as a Demand for Arbitration form.
| Name of account holder: |
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| 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: |
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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:
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Please briefly describe the nature of your dispute and attach any supporting documents that you wish. If necessary, please use the reverse side.
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Please briefly describe the relief that you would like from Cricket.
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| Date: |
| Signature: |
VDA051814