Customer Complaint Form

Type: 

 

Customer Complaint Form

CUSTOMER INFORMATION

Customer Name:

Customer Phone:

Customer Address:

Contact Name:

Contact Position:

Customer P.O. No.:

Invoice Number:

Product Number:

Product Description:

 

COMPLAINT INFORMATION

Complaint Date:

Complaint Taken By:

Complaint Details:

 

 

 

First Response Corrective Action:

 

 

 

Suspected Cause:

 

 

 

Corrective Action Person(s):

Corrective Action Follow-up:

What steps should be considered to avoid a repeat of the problem:

 

 

 

Date:

 
     

                                                                                                           

Signature of person completing this form

 

 

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