Attachment_7_Customer_Complaint_Form.pdf

PDF 544 KB Posted

Attached to
FEMA On-site Generator Maintenance Federal contract opportunity
Solicitation number
HSFE40-16-R-0008
Issued by
Federal Emergency Management Agency Headquarters Office of the Chief Procurement Officer

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Customer Complaint Form

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RFP: HSFE40-16-C-0008

ATTACHMENT 5B: CUSTOMER COMPLAINT FORM

CONUS_DECEMBER 2016

RFP: HSFE40-16-C-0008

ATTACHMENT 5B: CUSTOMER COMPLAINT FORM

CONUS_DECEMBER 2016

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:]
Clear:

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