C U S T O M E R C O M P L A I N T C O N T A C T
F O R M
Date: ___________________________________________________ Time: _________________________________________________
Customer Name: ______________________________________________________________________________________________
Customer Contact Number or Email Address: ______________________________________________________________
Purpose of call:
Problem Resolution: _________________________Complaint: _________________________
Other: ________________________________________________________________________________
Details of Problem/Complaint: ______________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
Action Taken: __________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
Other Comments: _____________________________________________________________________________________________
Follow-up Required?
Yes
No
Date: _____________________________________
Warranty
Non-Warranty
Product Name: ________________________________________________________________________________________________
Conclusions: ___________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
This free template brought to you courtesy of
Summer Alexander
Research.