Budget Stretcher Customized Forms

Consumer Complaint Record Sheet

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This form can be used to keep a record of telephone conversations and correspondence when making a complaint about a product or service.

Company Information
Company Name Company Address Company Phone & Fax #
 
 
 		  
 
 		 Phone #
Fax # 


Product or Service Information
Product or Service Name Identifying Number Complaint Description
 
 
 		  
 
 		  
 
 


Contact Information
Contact Name Department Extension #
 
 
 		  
 
 		  
 
 
Date Time Results of Contact
 
 
 		  
 
 		  
 
 
Contact Information
Contact Name Department Extension #
 
 
 		  
 
 		  
 
 
Date Time Results of Contact
 
 
 		  
 
 		  
 
 
Contact Information
Contact Name Department Extension #
 
 
 		  
 
 		  
 
 
Date Time Results of Contact
 
 
 		  
 
 		  
 
 

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