2.2.1 Attachment J QASP Customer Compliant Investigation Form_2023-03-13.pdf

PDF 548 KB Posted

Attached to
CONUS Vehicle & Equipment Maintenance Federal contract opportunity
Solicitation number
70FB7023R00000012
Issued by
Federal Emergency Management Agency

About this file

Written by GovTribe AI ·

This document is a template form for investigating customer complaints related to Federal Emergency Management Agency contract 70FB7023R00000012 for CONUS Vehicle & Equipment Maintenance services. The form collects details about the nature of the complaint, the service or standard involved, dates and times of when the complaint was received and the contractor was informed, results of the contractor's investigation and any corrective actions taken, and attachments. It also includes fields for complainant information such as name, phone number, organization, and email as well as the name and contact information of the person preparing the investigation report.

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QASP Customer Complaint Investigation Form

As of: 3/13/2023

QASP Customer Complaint Investigation Form

As of: 3/13/2023

COMPLAINT: CUSTOMER COMPLAINT INVESTIGATION FORM
NAME: NAME:
PHONE2:
PHONE: PHONE NUMBER:
Service or Standard: [ ]
ORGANIZATION: ORGANIZATION:
EMAIL: EMAIL ADDRESS:
ORGANIZATION2: [ ]
NAME2:
EMAIL2:
SERVICE-PERFORMANCE: SERVICE OR STANDARD:
COMPLAINT RECEIVED: COMPLAINT RECEIVED (INCLUDE DATE AND TIME):
DATE1: DATE
DATE2:
TIME1: TIME
TIME2:
CONTRACTOR INFORMED: CONTRACTOR INFORMED (INCLUDE DATE AND TIME):
TIME3: TIME
TIME4:
DATE3: DATE
/1: /
DATE4:
/2: /
SOURCE: SOURCE OF COMPLAINT (INCLUDE NAME, PHONE NUMBER, ORGANIZATION AND EMAIL ADDRESS BELOW):
RESULTS: RESULTS OF COMPLAINT INVESTIGATION AND CORRECTIVE ACTIONS TAKEN BY CONTRACTOR (PROVIDE DETAILS):
NATURE2:
NATURE: NATURE OF COMPLAINT:
RESULTS2:
ATTACHMENTS2:
ATTACHMENTS: ATTACHMENTS:
SIGN: PREPARED BY (SIGN):
PRINT2:
PRINT: PREPARED BY (PRINT):
DATE5: DATE:
Date:
Additional Comments:
Comments: [Additional Comments:]
PAGE: 1
PAGE2: 2
CLEAR FORM:

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