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EAMLS Member Billing Query
*Billing disputes filed over 3 months after statement date will not be considered*
Office Name:
Office #:
Phone:
Broker/Manager Name:
Statement Date:
MLS # in Question:
Total Amount of Fines:
Agent name:
Agent MLS ID:
Agent Email:
Agent Cell #:
Please Respond Back To (Email):
Full Description of why you are disputing the charge: