Customer Inquiry
Date (mm-dd-yyyy)
Customer Name
Your Name and Company affiliation
Service Level REGULAR RUSH
POINT TO POINT DIRECT
OTHER
Nature of Complaint MISSED DELIVERY LATE DELIVERY
MISSED PICK UP LATE PICK UP
Please Explain
Contactor Name and Number
What was the call in time
When was the call dispatched
What was the delivery time
Who handled the complaint or status call
What was the end result
Who is being charged for this delivery? CONTRACTOR DOMINION
CUSTOMER
