CUSTOMER COMPLAINT FORM
NAME
*
First Name
Last Name
POSITION
CUSTOMER NUMBER
*
SERVING BRANCH
*
TELEPHONE NUMBER
*
Please enter a valid phone number.
Format: 00000 000000 .
ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postcode
EMAIL
*
example@example.com
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DESCRIPTION OF COMPLAINT
*
WHICH PART OF OUR SERVICE PLEDGE HAS BEEN COMPROMISED?
*
Deliveries ( timeliness)
Deliveries (quality)
Documents
Claims
Returns
Supplies
Invoicing
Communications
Customer Portal
New Customers
Business Arrangements
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SIGNATURE
*
PRINT NAME
*
DATE
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Submit Complaint
Should be Empty: