Free Small Businesses Complaint Form Template
Small Business Complaint Form
Please complete all sections to ensure your complaint is addressed effectively.
Personal Information
Name
Address
Phone Number
Complaint Details
Date of Incident
Name of Small Business
Business Address or Location (if applicable)
Staff Member(s) Involved (if known)
|
Name(s) |
Contact Number |
|---|---|
|
|
|
|
|
|
|
|
|
Nature of Complaint
Check all that apply:
-
Poor Customer Service
-
Product/Service Quality Issue
-
Billing or Payment Dispute
-
Delayed Delivery or Service
-
Misrepresentation or False Advertising
Description of Incident
Provide a detailed account of the issue, including dates, times, and relevant interactions. Attach additional pages if necessary.
Action Taken
Have you reported this issue to anyone else?
If yes, please specify:
Desired Resolution
Describe how you would like this to be resolved.
Supporting Document
Upload a file to support the complaint.
By signing below, I affirm that the information provided is accurate to the best of my knowledge.
Name:
Signed:
Complaint Form Templates @ Template.net
