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Bank Customer Complaint Form

The document is a customer complaint form that collects details about a complainant, complaint, and allows for an investigation. It collects the complainant's contact information, details of the incident and complaint, allows for witness details, and has sections for processing the complaint, investigating, and documenting actions and outcomes.

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Wasa Wasa
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310 views4 pages

Bank Customer Complaint Form

The document is a customer complaint form that collects details about a complainant, complaint, and allows for an investigation. It collects the complainant's contact information, details of the incident and complaint, allows for witness details, and has sections for processing the complaint, investigating, and documenting actions and outcomes.

Uploaded by

Wasa Wasa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CUSTOMER COMPLAINT FORM

COMPLAINANT DETAILS
Name of Person Lodging Complaint:
Address: Daytime Contact No:

Date: Email:

COMPLAINT DETAILS
Date of Incident (if relevant): Time:

Location of Incident:

Who/What is the Subject of Your Complaint:

Summary of Complaint/Issue:

WITNESS DETAILS (please leave blank if not relevant)


Name:

Address: Daytime Contact Number:

REF: AR11/6170 August 2011


COMPLAINT OUTCOME
As a result of making this complaint, is there any outcome you would like? □ Yes □ No

If yes, please provide details:

COMPLAINANT SIGNATURE DATE

NAME OF EMPLOYEE RECEIVING COMPLAINT

LODGEMENT
The Coorong District Council will accept complaints in the following ways:

a) In Writing
• By mailing Council at PO Box 399, Tailem Bend SA 5260
• Faxed to Council on (08) 8572 3822
• By email to council@coorong.sa.gov.au

b) In Person
• By telephoning 8572 3611
• By attending one of Council’s Offices located at Tailem Bend, Tintinara and Meningie.
The offices are open between 8.30am – 5.00pm Monday to Friday, noting that both
Tintinara and Meningie close for lunch each day from 12.30pm–1.30pm.

PROCESSING COMPLAINTS
• Council will acknowledge all complaints within 3 working days and try to resolve complaints
within 15 days.
• If we have made a mistake, you will receive a written apology.
• We will have due regard to your privacy.

Nat Traeger
DIRECTOR CORPORATE & COMMUNITY
INVESTIGATION DETAILS

Name of person investigating incident:

Title: Date of investigation:

Investigation details:

(If no action is to be taken, please explain why)

ACTIONS ARISING FROM INVESTIGATION DATE TO BE


COMPLETED
Immediate:

Further recommendations:

INVESTIGATION OFFICER
Signature: Date:
Complainant Advised: □ Yes □ No Date:

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