Free Disagreement Letter [Sample]

Learn how to write a disagreement letter. Use our sample disagreement letter as a template for your disagreement letter.

Disagreement Letter Sample

Date of the Letter: April 2, 2021

Name of the Recipient: John Smith
Address of the Recipient: 123 First Street
City, State Zip Code

Subject of the Letter: Decision Regarding Work Performance
(This section is optional)

Dear John Smith,

Summary of the contents:
I have always highly regarded you as a manager and value your opinion.

However, I am writing to provide you with information regarding why I believe the evaluation I received for my work performance is incorrect.

My evaluation on (date of evaluation: March 15, 2021) contained performance ratings that were less than satisfactory.

I believe that my performance as an employee of (Name of Company) for the last five years has always been exemplary.

I have implemented several safety plans that have resulted in less work time losses. For example,

Example #1

Example #2

Example #3

I have a perfect attendance record and am always willing to go the ‘extra mile’ to uphold the reputation of this company.

Our working relationship is extremely important to me, and I am confident that you will consider my position in this matter. Thank you for your reconsideration.


Your Signature
Your Typed Name: Ann Jones
Safety Director (Title is optional)

Enclosures if any
cc: Recipients of any copies, if sent

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