Customer Complaint Form
CUSTOMER INFORMATION |
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Customer Name: |
Customer Phone: |
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Customer Address: |
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Contact Name: |
Contact Position: |
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Customer P.O. No.: |
Invoice Number: |
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Product Number: |
Product Description: |
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COMPLAINT INFORMATION |
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Complaint Date: |
Complaint Taken By: |
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Complaint Details:
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First Response Corrective Action:
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Suspected Cause:
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Corrective Action Person(s): |
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Corrective Action Follow-up: |
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What steps should be considered to avoid a repeat of the problem:
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Date: |
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Signature of person completing this form