COMPLAINT FORM for CHARTER
________________________________________
|
_____________________________
|
__________________________________________
|
Date Time of Day Staff Name
___________________________________________________________________
|
__________________________
|
Customer's Name Phone #
________________________________________________
|
__________________________
|
City Zip Code
CUSTOMER CONCERN
|
Rates (Cost for service)
|
|
Construction (Damage to property, digging in yard, dangling wires, cut lines, lack of notice)
|
|
Line Extension (Can't get service extended to home because area isn't serviced yet)
|
|
Billing (Late charge, overcharge, wrong charge, difficulty reading bill)
|
|
Technical problems (Outages, poor reception, decoder box, remote control, VCR incompatibility)
|
|
Inquiry (Request for general information on city policy, company procedures.
|
|
Customer service (Missed appointments discourteous employees, lack of responsiveness)
|
|
Programming (Don't like existing programs, want programs/channels not offered)
|
|
Phone service (Delayed connection, disconnections, abandoned calls)
|
|
Other (Not related to any of the types mentioned above)
|
|
|
|
|
Explanations:
|
|
|
|
|
|
|
Date Resolved: ___________________Resolved by______________________________________
Resolution:_______________________________________________________________________
________________________________________________________________________________