Verizon Dispute Form PDF Details

In the landscape of customer service and dispute resolution, Verizon has outlined a clear procession for clients who find themselves at odds with service provision, through the Verizon Notice of Customer Dispute form. This procedural pathway emphasizes Verizon's commitment to customer satisfaction by offering structured alternatives, including mediation or arbitration, for unresolved issues beyond the realm of customer service conversations. The comprehensive form serves as an initial step for customers opting for these resolution mechanisms, guiding them to articulate the nature of their dispute, desired relief, and providing a choice between voluntary mediation and arbitration via the American Arbitration Association (AAA). This articulated process does not only aim to facilitate timely resolution within a 30-day window upon form submission but also delineates provisions for confidentiality, particularly in mediation, accentuating the binding nature of arbitration decisions and mediation agreements, unless contested. Moreover, by recognizing the opportunity to engage with external entities like the Better Business Bureau and governmental agencies, Verizon underscores the extent of recourse available to customers, all while necessitating the completion of this form as a preliminary to the discussed arbitration or mediation, thereby mapping out a route intended to foster resolution in favor of sustained customer satisfaction and service continuity. A mechanism is in place for both the submission of disputes and the establishment of a dialogue through specified contact details, grounding the process in accessibility and accountability.

QuestionAnswer
Form NameVerizon Dispute Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesverizon fios etf waiver form, verizon dispute, how to verizon notice of, verizon dispute form

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Verizon Notice of Customer Dispute Page 1 of 2

Verizon is committed to customer satisfaction. If you have an issue regarding your service that cannot be resolved with our customer service representatives (at 1-800-VERIZON), you may choose to either arbitrate or mediate the issue. You can also communicate any issues you may have with your Verizon service with the Better Business Bureau (“BBB”), or federal, state, or local government agencies, and if the law allows, they can seek relief against Verizon on your behalf.

Please use this form to provide notice to Verizon only if you intend to seek mediation or arbitration. Please complete this form in its entirety and keep a copy for your records. A Verizon representative will respond to you within 30 days of receiving this form.

Please check the appropriate box below to indicate whether you would like to participate in the Verizon mediation program or arbitrate your dispute with the American Arbitration Association (“AAA”):

: Voluntary Mediation. In Verizon’s mediation program, we will assign an employee who is not directly involved in the dispute to help both sides reach an agreement. This program is entirely voluntary, and you are not bound by the mediator’s proposal unless you agree with its terms. Participating in mediation does not waive any rights you may have to seek other ways to resolve your dispute, including arbitration, if the mediation is unsuccessful.

: Arbitration. Arbitration is an alternative dispute resolution process in which a neutral third person (one or more arbitrators) evaluates the position of each party to the dispute and renders a decision. Once the arbitrator renders a decision, it normally is final and binding on the participating parties. You must send Verizon a notice of the dispute in writing at least 60 days in advance of initiating the arbitration. Follow the directions on this form in order to provide Verizon proper notice. Even if you complete this form, you must contact the AAA to initiate the arbitration. You can get procedures, rules and fee information from the AAA (www.adr.org).

Completed forms should be sent by email to NoticeofDispute@Verizon.com or by mail to:

Verizon Dispute Resolution Manager One Verizon Way, VC54N090 Basking Ridge, NJ 07920-1097

Account Owner Name:

Billing Address:

Account No:

Billed telephone number (if applicable):

Alternate contact phone number:

Email address (optional):

Verizon Notice of Customer Dispute Page 2 of 2

Briefly describe the nature of your dispute and attach any supporting documents:

Briefly describe the relief you seek (e.g., credits, refunds, service improvement, termination of account). Be sure to give specific amounts as to any credits or refunds sought:

Are you represented by an attorney?

Yes

No

If you are represented by counsel, please provide your attorney’s contact information below:

CERTIFICATION OF CUSTOMER OR REPRESENTATIVE

I hereby certify that I am the account owner of the above account(s) or a duly authorized representative of the account holder.

Signature of Account Owner or Authorized Representative:

Date:

CERTIFICATION FOR MEDIATION REQUEST

I understand that any mediation proceedings are confidential and that if I choose to participate in Verizon’s internal voluntary mediation program, I cannot use any statements made during it to settle my dispute in any subsequent legal proceeding, including arbitration or a small claims proceeding, between Verizon and myself, or my client. I will not disclose any statements made or agreement reached during the mediation. By my signature below I acknowledge that mediation is entirely voluntary and I specifically agree to the terms of the mediation as set out above and waive any right to challenge them in any forum.

Signature of Account Owner or Authorized Representative:

Date:

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