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                                    NOTICE OF LEGAL DISPUTE

  •  USE THIS FORM to request an evaluation of a previous resolution already given to you by AOL regarding your dispute.  This form should not be used if you have not yet discussed your dispute with our AOL representatives at 1-800-827-6364, or if you have not written to AOL at the following address: AOL, Dept. 5627, PO Box 65101, Sterling, VA  20165.

 
  • COMPLETE, SIGN, AND RETURN THIS LEGAL DISPUTE FORM AND EXPECT TO HEAR BACK FROM AOL WITHIN 60 DAYS OF RECEIPT OF COMPLETED FORMMAIL the form to AOL, Dept. 5771, PO BOX 65101, Sterling, VA, 20165-8806.  
 
  • You may receive a call from an AOL Legal Representative at the phone number below to discuss your dispute.   
 
  • AOL will email you at the email address you provide below to confirm receipt of your Notice of Legal Dispute form.
 
  •  INCLUDE any documentation you deem necessary to validate your dispute.  Please do not highlight text on this form or statements, as the text may become illegible when the documents are processed.  
Contact Information
 
Name:___________________________________________________________________________________________________________
 
Street Address:_________________________________________  City:____________________________ State:_______ Zip:__________

Phone Number :(        )___________________________________ Alternate Phone Number :(        )______________________________
 
AOL Email Address / Username:_____________________________Current Email Address: ____________________________________ 

Legal Dispute Details
 
What does your dispute involve?
     
 
     Product or Service (AOL, AOL Extended Computer Protection, etc.):
       
         _____________________________________________

 
     Billing      
     Amount of Dispute $__________
 
     Community Guidelines / Online Behavior
 
     Other
     Please Explain:
 

Please type explicit details regarding your legal dispute with AOL on separate paper.  Do NOT write on the back of this form.   

 
Sign and Date Below
 
SIGNATURE: ________________________________________   DATE:____________________________________________