top of page

Complaints Form

A1 Dog Products & Services – Complaints Form

Date and time

Day

Month

Year

Time

:HoursMinutes

First name

Last name

Address

Email

Phone

Service or Product Involved:

Name of Staff Member (if relevant):

Description of Complaint (Please provide as much detail as possible – what happened, where, when, and who was involved)

Impact of the Issue (How did this affect you? Eg. financial loss, inconvenience, safety concerns, emotional impact)

Receipts

Photos

Correspondence

☐ Other

Short answer

Desired Outcome (What would you like us to do to resolve the issue?)

File upload

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

For Office Use Only

Date

Day

Month

Year

Received by:

Action Taken:

Resolution Date:

Date

Day

Month

Year

Outcome:

Resolved

Unresolved

Referred

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

bottom of page

Complaints Form ​