Attachment_18.pdf

502 CONS/JBKAE FA3016-16-R-0009

JBSA Lackland, TX

Attachment 18 30 Oct 2015 Page 1 of 1

ATTACHMENT 18

CUSTOMER COMPLAINT FORM

TRAINER AND STATIC DISPLAY MAINTENANCE SERVICES

CUSTOMER COMPLAINT

INSTRUCTIONS:

- Customer submits Section I to COR

- COR submits Section II to CO if complaint is substantiated

- CO determines concurrence with COR and desired fix action and notifies SP SECTION I. CUSTOMER COMPLAINT (Submitted by customer. COR may populate blocks 4 and 5.)

1. AIRPARK/TRAINING AREA

NAME/NUMBER

(If known, use name/number listed on PWS)

2. ITEM NAME/NUMBER (If known, use name/number listed on PWS)

3. DATE DISCREPANCY OCCURRED 4. PWS PARAGRAPH(S) (If known)

5. SERVICE SUMMARY NUMBER(S) (If known and applicable)

6. DESCRIPTION OF DISCREPANCY(IES) (Use bullet statements)

7. CUSTOMER NAME (Type Last, First, MI) 8. CUSTOMER SIGNATURE 9. DATE SIGNED

SECTION II. COR DISPOSITION (Completed by COR)

10. COR FINDING

□ SUBSTANTIATED

□ UNSUBSTANTIATED

11. JUSTIFICATION OF SUBSTANTIATION (Use bullet statements, attach photographs if necessary)

12. DAMAGE TO GOV’T PROPERTY?

□ YES AMT:$

□ NO

13. COR NAME 14. COR SIGNATURE 15. DATE

SECTION III. CO DISPOSITION (Completed by CO if COR substantiated complaint)

16. DOES CO CONCUR WITH COR FINDING?

□ YES

□ NO

17. SP CORRECTIVE ACTION (If applicable, free text)

18. CORRECTIVE ACTION DUE DATE

19. CO NAME 20. CO SIGNATURE 21. DATE

FA-XXXX-XXX Form 3

□ SUBSTANTIATED