Complaint Form (FA_49)


Fill Complaint Form below or download  Formate  and send it info@icspl.org
1.1 Name of Client / Person:  
1.2 Address 1:  
1.3 Address 2:
1.4 City:  
1.5 State  
1.6 Country:
1.7 Phone / Mobile No:  
1.8 Fax No.
1.9 Email:  
1.10 Details of person acting on behalf of complaint (if applicable)  
1.11 Person to be contacted (if different from above)
2 Product/Service Description
2.1 Reference number of product/order (if any)
2.2 Description of Complaint :  
3. Nature of Complaint
3.1 Date Of Occurance         
3.2 Description
3.3 Did you lodge a Complaint With Interested party
3.4 If yes Mention Complaint No. & Date & Response
3.5 If No Mention Reason  For Doing Not
Note 3.3,3.4,.3.5 Applicable If Complaint Not Against ICS 
4 Remedy Requested /Expected
5 Do you have any objection in this complaint contents be made avaliable to interested parties/stake holders (strike as applicable:
6. In case you wish some portion of this complaint be hidden pleast tick what should not be shared:                    
           
7. Reason for not sharing that information:
8.  Complaint Related to ICS Station: