Maintenance Cancellation Form

FOR INTERNAL USE ONLY

This form is to be filled out by the employee handling the customer cancellation. Once completed it will automatically be forwarded to the appropriate manager.

Customer Name(Required)
Any missed/rolled?(Required)
Any complaints or issues over last 2 months?(Required)
Any Incentives/compensation offered?(Required)

Name/number of techs who have cleaned over last 2 months?

Tech 1 - Name
Tech 2 - Name
Tech 3 - Name
Tech 4 - Name
Tech 5 - Name
Tech 6 - Name
Tech 7 - Name
Tech 8 - Name