Cano Electric Customer Invoice Dispute
Request Date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Invoice Number
*
Invoice Date
*
-
Month
-
Day
Year
Date
Dispute reason
*
Cancelled Transaction
Defective or Damaged Materials
Duplicate Charge
Goods or Services not Provided
Incorrect Amount
Issue Not Resolved
Time to Complete Job
Unauthorized Transaction
Work Described Doesn't Match Work Performed
Dispute approval coding
COGS Discount - Promotional
COGS Discount - Win the Job
Discount - Dispute - Billing Error
Discount - Dispute - Callback
Discount - Dispute - Ops Error
Discount - Dispute - Satisfy Customer
Discount - Job Cancelled
Discount - Warranty
Additional Comments:
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