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Please copy, paste and personalise the text below and send it to your employer/agency.

(Today's date)

(Enter employer/agency name) 

(Enter employer/agency address) 
 
Dear (enter employer/agency name)
 
I am writing to you because I have been informed that I am subject to repayment charges. 

I (am/was employed/engaged) by you from (enter date) to (enter date) as a (enter job title) on a (enter job type - full-time, part-time or agency/casual) basis. 

You have stated that I must pay a total sum of (enter amount). Please could you supply a full breakdown of the charges? 

I would like time to carefully consider this and check it against my own records. 

Until we agree that the charges are correct and fair, I ask that no deductions are made from my wages. 

If you deduct the charges without further discussion, it could negatively affect me in the following ways (enter details here; for example the possibility of defaulting on your mortgage payments, incurring bank charges, being unable to financially support your family, etc.).  

Kind regards 

(Enter your name and contact number)