Subject: Request for self-correction

Debtor: [FIRST NAME LAST NAME], [DATE OF BIRTH]
Case/case number: [CASE NUMBER, IF KNOWN]

I request self-correction under the Enforcement Code of the following error:

[DESCRIBE THE ERROR. EXAMPLE CONCERNING SCHEDULED FEES: Scheduled fees have
been collected from my recurring income without interruption since
[MONTH/YEAR], i.e. for a total of at least 18 months within the preceding
two years. Under section 5 of the Act on Enforcement Fees (34/1995), the
collection of the scheduled fee is not continued after this. Fees have
nevertheless still been collected.]

I request that the error be corrected and the excess amount refunded or
applied towards my debts. I request a written reply. If no correction is
made, I request instructions for seeking a change to the decision.

[DATE]
[NAME, PHONE NUMBER]