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Corporate Account Customer Service Request

  • The completed form must be submitted within 90 days from the date of the invoice.
  • A separate form must be submitted for each disputed rental.
  • Please include Rental Agreement Number or Invoice Number to expedite our research.
  • When finished completing this form, please hit Submit one time only.
*Required Field
Date of Invoice:
Click to select your travel date.
Invoice Number:
*Corporate Account Name:
Disputed Amount:
*Rental Location:
*Corporate CD #:
*Renter's First Name:
*Renter's Last Name:
Rental Agreement #:
*Pickup:
Click to select your travel date.
*Return:
Click to select your travel date.

Person To Contact

*Contact First Name:
*Contact Last Name:
Title:
Address:
Address 2:
Phone:
Fax:
Country
State
City:
Zipcode / PostalCode:
*E-mail Address:
Prepared By:
Comments:
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