Customer Complaint Form
A customer complaint form is a document that records any complaint made by a customer that occurred within the store. No matter thecomplaint, this form enables the incident to be recorded and thus can be used as evidence in case of a lawsuit. The format is simple but quite effective.
Name of the store: ________________________________________________________
Address of the store: ______________________________________________________
Store Manager’s name: ____________________________________________________
Date: ___________________________________________________________________
Name of customer: ________________________________________________________
Address: ________________________________________________________________
Mobile number: __________________________________________________________
Home number: ___________________________________________________________
Email address: ___________________________________________________________
Date of complaint: ________________________________________________________
Describe in detail the complaint: _____________________________________________
________________________________________________________________________
________________________________________________________________________
Describe who you reported the incident to and how they dealt with it: _______________
________________________________________________________________________
________________________________________________________________________
Describe how the store can deal effectively with your complaint: ___________________
________________________________________________________________________
________________________________________________________________________
What recommendations would you make in order to avoid any reoccurrence of such an incident? ________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Manager’s comments: _____________________________________________________
________________________________________________________________________
________________________________________________________________________
Customer’s signature: ___________________________ Date: ___________________
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