This complaint form template is for public use, free. An editable MS Version is available for a dollar.
COMPLAINT FORM SAMPLE
To: Person Directed
Company, Address, City, State, Zip
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.
Date:
Name: (Optional)
Phone: (Optional)
Email: (Optional)
What is your relationship to our business? (check one)
□ Client
□ Staff
□ Guest
□ Security □ Visitor □ Other
What is this complaint concerning? (Check all that apply)
□ Staff
□ 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.