Customer service request form

REQUEST FOR SERVICE TO THE CUSTOMER

INFORMATION ABOUT THE CLIENT
Date
Client
Address
Phone

INFORMATION ON DEMAND
PROBLEMS RELATED TO MERCHANDISE: DELIVERY PROBLEMS:

Unmet command address
Defective goods absent Client
Repair delay problem / loss in transit
Inappropriate goods damage en route
Amount errors packaging not containing goods
Credit/refund not done other
Other

OTHER INFORMATION
NOTES:

PROVISIONS:

Signature of the person who completed the form