INFORMATION ABOUT THE PERSON OFFERING A REQUEST/COMPLAINT/SUGGESTION
Name Surname
Organization/Position/Title
By post
By phone
By e-mail
Submitted by
Submitted by (Other)
INFORMATION ABOUT YOUR REQUEST/COMPLAINT/SUGGESTION
Please tell about your suggestion regarding your request/complaint/suggestion
Date of Incident Subject to request/complaint/suggestion
Subject of request/complaint/suggestion
How many times
What would you suggest for the resolution of the request/complaint/suggestion?