Customer Complaint Form

This form allows customers to register an official complaint regarding a product, service, or experience. Please provide your contact details, a clear description of the issue, and your expectations for resolution. This information helps us address your concerns promptly and effectively.

Customer Information

Full Name: {fullName}
Email: {email}
Phone Number: {phone}
Customer ID (if applicable): {customerId}

Complaint Details

Date of Incident: {incidentDate}
Location of Incident (Branch/Online): {incidentLocation}
Product/Service Involved: {productOrService}

Description of the Issue:

{description}

Steps Taken (if any) to Seek Resolution:

{stepsTaken}

Expected Resolution

{expectedResolution}

Attachments

Attached Files:

{#attachments}

• {fileName}

{/attachments}

Other Complaints Submitted

{#$ previousComplaints.length > 0}

{/}

{#$ previousComplaints.length == 0}

No previous complaints found.

{/}

Additional Comments

{additionalNotes}

Submitted On: {submissionDate}