Attch_7_-_Complaint_Form.docx

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Fleet & Family Support Programs Global Staffing
Solicitation number
HDQMWR-19-R-0011
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Attch 7

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Text version

CUSTOMER COMPLAINT FORM

Date:_____________________

From: _____________________________________ Code: ___________________

To: _____________________________________

Subject: COMPLAINT. RE:

Complaint (Attach Supporting Documentation):

Signature

COR VALIDATION

ACTION TAKEN: ____________________________________________________________________________

NAME:___________________________________________ DATE/TIME: ____________

CONTRACTING OFFICER VALIDATION (IF NECESSARY): YES _____ NO_____

NAME: ___________________________________________ DATE/TIME: ____________

ACTION TAKEN: ______________________________________________________

To Be Completed by the Contractor IAW Contract Requirements

NAME:___________________________________________ TIME: ___________

Follow-Up Action/Response:

Attachment (7) (PAGE 1 of 2)

FOR CNIC USE ONLY:

Follow-Up Plan Verified By: ____________________________________________________________

Date/Time: ___________________

Notes:

Complaint Closed (Date): __________________

Attachment (7) (PAGE 2 of 2)

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