CUSTOMER COMPLAINT FORM

FOR INTERNAL USE ONLY.

This form is to be filled out by the supervisor/manager handling the customer complaint. Once completed it will automatically be forwarded to the Department Head.

Customers must be contacted within 24 hours after complaint was issued.

"*" indicates required fields

MM slash DD slash YYYY

CUSTOMER NAME:
CUSTOMER ADDRESS:

MM slash DD slash YYYY
CASE CLOSED (THE CUSTOMER IS HAPPY):