Online Complaint Form Template

5
Questions
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Online Complaint Form Template

Welcome and thank you for reaching out. Share your incident details through our Online Complaint Form to help us address your concerns swiftly and effectively.
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*
1.
Basic Information:
Name
Name
Email
Email
Phone number
Phone number
*
2.
Date of Incident:
*
3.
Nature of Complaint:
Service Quality
Product Issue
Staff Behavior
Technical Problem
Billing or Payment
Other (Please Specify)
*
4.
Please describe the incident in detail:
5.
If you have any additional information to provide, please upload them.
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