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CLIENT INFO:

LEAD INFO:

Service Used:

REASON FOR DISPUTE:

Reason For Dispute? (Select All That Apply)

RESPONSE TIME (SPEED TO LEAD REQUIREMENT):

Did You Respond Within 5 Minutes?

CONTACT ATTEMPTS (FIRST 48 HOURS):

CALL REQUIREMENTS:

COMMUNICATIONS METHODS USED:

Communication Methods Used: (Select All That Apply)

CRM & TRACKING PROOF:

Are All Activities Logged In The CRM?
CRM Used:

DISPUTE TIMELINE CONFIRMATION:

Was This Dispute Filed Within 72 Hours Of Receiving The Lead?

CLIENT CONFIRMATION:

By Submitting This Form, I Confirm: I have followed all required lead handling protocols, all information provided is accurate, and I understand that incomplete submissions will be rejected. Enter your name and date here. 

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