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Complaint Report Form (PDF download available)
Complaint Report Form PDF file Link:
Download/Print
Name
E-mail
CR No
Date & Time of Report: (DD/MM/YYYY)
Complaint Filed By
Phone Number
Received By
Designation
Damaged Product
Wrong Product Delivered
Poor service/ response
Billing/Payment Issue
Warranty/Return Issue
Other (please specify):
Complaint Type
*If you choose other:
Internal
External
Verbal
Telephone
Email
Social Media
Mail
In-Person
Other (please specify):
Complaint Origin & Channel
*If you choose other:
Details of Complaint
Photo(s)
Document(s)
Other:
Attached Evidence:
*If you choose other:
Investigation Details - Investigated By:
Designation
Date of Investigation: (DD/MM/YYYY)
Findings and Root Cause Analysis:
Resolution and Corrective Action - Action Taken to Resolve the Complaint:
Resolution Implemented By
Designation
Date of Implementation: (DD/MM/YYYY)
Reviewed and Approved By
Designation
Complaint Closed On: (DD/MM/YYYY)
Total Time Taken to Resolve
Satisfied
Neutral
Dissatisfied
Customer Feedback After Resolution:
Yes
No
Follow-Up (if necessary) - Further Actions Required:
Further Actions Details
Follow-Up Date: (DD/MM/YYYY)
Responsible Person:
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