Explanation and Guide
Form: Purpose: Customer Complaint Form (Form 11.9) This is a sample form that can be used to document customer complaints and corrective actions taken.
Form 11.9
DOCSSF1:231319.1
Customer Complaint Form
Complaint Date: Customer Name: ________________ Customer Address: Customer P.O. No.: Contact Position: Product Number: Product Description Complaint details: Complaint taken by: Phone: Invoice Number:
First Response Corrective Action:
Suspected Cause: Corrective action person(s): Corrective action follow-up: What steps should be considered to avoid a repeat of the problem:
Date: Signature of Person Completing This Form
Form 11.9
DOCSSF1:231319.1