COMPLAINT FORM SAMPLE
To: Person Directed
Company, Address, City, State, Zip, www.theroswellgroup.com
Re: Type of Compliant Form
This complaint/suggestion form is for individuals to fill out if they have any concerns to
voice to our management team. Please make sure a copy of this form is submitted to
the Management Director (Name), (Tel) at the Address, Floor, City, State, Zip so that we
may address your concerns.
What is your relationship to our business? (check one)
□ Security □ Visitor □ Other
What is this complaint concerning? (Check all that apply)
□ Services □ Facilities □ Reception □ Other
Please give us a detailed account of your situation, and list suggestions, which you think, may
be useful in addressing your concerns. Please use the reverse side of this form if necessary.