DA_Fm5477_MAR2008.pdf
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Text version
DATE OF COMPLAINT TIME OF COMPLAINT
NATURE OF COMPLAINT
CONTRACT REFERENCE
VALIDATION
DATE CONTRACTOR INFORMED COMPLAINT TIME CONTRACTOR INFORMED OF COMPLAINT
ACTION TAKEN BY CONTRACTOR (Responsible officer)
RECEIVED AND VALIDATED BY
ORGANIZATION
INDIVIDUAL
NOTE: ( ) Used for in-house operation.
CUSTOMER COMPLAINT RECORD
For use of this form, see DA PAM 5-20; the proponent agency is ACSIM.
SOURCE OF COMPLAINT
(Responsible officer) (Responsible officer)
DA FORM 5477, MAR 2008 PREVIOUS EDITIONS ARE OBSOLETE. APD PE v1.01ES initiator:ralph.gaines@us.army.mil;wfState:distributed;wfType:email;workflowId:b71742b09d8a4c49a6eb59ab36d6e236
| DATE OF COMPLAINT: |
| TIME OF COMPLAINT: |
| ORGANIZATION INDIVIDUAL SOURCE OF COMPLAINT: |
| NATURE OF COMPLAINT: |
| CONTRACT REFERENCE: |
| VALIDATION: |
| DATE CONTRACTOR INFORMED COMPLAINT Responsible officer: |
| TIME CONTRACTOR INFORMED OF COMPLAINT Responsible officer: |
| ACTION TAKEN BY CONTRACTOR Responsible officer: |
| RECEIVED AND VALIDATED BY: |
| NOTE Used for inhouse operation: |
| undefined: Off |
| Text2: |
| SubmitButton1: |
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