Attachment_6_DA_Form_5477_Customer_Complaint_Form.pdf

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Command Maintenance and Sustainment Team (CMST)
Solicitation number
W912D0-16-R-0012
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Attachment 6 DA Form 5477

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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 LC v1.01ES

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 LC v1.01ES 1.01

DA FORM 5477, NOV 1985

CUSTOMER COMPLAINT RECORD

APD

DATE_A:
TIME:
ORGANIZE:
INDIVDUAL:
NATURE:
CONTRACT:
VALIDATE:
DATCMPLNT:
TYMCMPLNT:
ACTION:
signature_BUTTON1:
CHKMRK:

File details come from the government source that posted it. Updated .