Loss & Damage Notification
Complete this form to report all complaints from customers, including incidence when orders are delivered to the wrong location. This information will be used to improve processes and training and improve the quality of service we provide.
Name of Employee Receiving the Complaint
*
First Name
Last Name
What store received the item for cleaning?
*
(Part 1) Customer Information
Date loss or damage was reported.
*
Customer Name
*
First Name
Last Name
Customer Phone #
*
-
Area Code
Phone Number
Customer Email Address
*
example@example.com
Customer Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
(Part 2) Complaint Type
Type of complaint
*
Damage
Lost
Quality of Service
Other
Complaint Details/Description
Date the item/items were tagged in
*
Resolution Type
*
Redo
Replace item
No charge
Store Credit
Refund
Items Located
Other
Date of Resolution
*
(Part 3) Redo & Replacement Cost
Enter each item separately, the resolution (whether it was a redo or a replacement), the original amount charged to customer for service and/or the replacement Cost of each item.
(Part 4) Complaint/Damage/Loss Investigation and Plan of Action
Describe the Plan of Action for future prevention.
*
(Part 5) Pictures of Damage to Items
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