Customer Complaint Form Greer State Bank

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Greer State Bank
Customer Complaint Form
Date: ___________________ Account number if applicable: _____________________
Name: __________________________________________________________________
Address: ________________________________________________________________
Phone Number: _________________ Email: ___________________________________
What is the best way to contact you? Phone Mail Email
What is the best time to contact you? Morning Afternoon Evening
The complaint is regarding:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Name of the person or department against which/whom the complaint is filed:
________________________________________________________________________
Other specific details of the complaint:
______________________________________________________________________
______________________________________________________________________
Signature of the person filling the complaint form: _______________________________
Resolution: ______________________________________________________________
________________________________________________________________________
________________________________________________________________________
Date Resolved: _________________________

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