Customer Complaint Form

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Customer Name *

Customer Contact No *

Contact Name *

Contact Position *

Customer P.O No. *

Service/Product Description *

Complaint Date:

Medium of Complaint (Hand/Email or telephone)

Complaint Details: *

Suspected Roort Cause: *

Corrective Action: *

Corrective Action responsible person(s): *

Corrective Action Follow up: *

Avoid step to not repeat of the problem: *

Avoid Date:

Name:

Position:

Date

Industrial Inspection Co.