FLITT Customer complaint form Please fill out the form below. 1. Customer Complaint Form Company: FlittNote: Refer to the Damage to Goods During Loading, Transport or Unloading Policy (FLITT- Policy-001).Date of Incident(Required) Time of Incident(Required) Hours : Minutes AM PM AM/PM Customer Name(Required) First Last Customer Phone NumberJob / Booking Number2. Incident TypeIncident Type(Required) Goods damaged Property damage Vehicle accident Customer complaint Failed delivery Unsafe access / loading issue Other Click all that appliesPlease specify3. Location of IncidentPickup Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Delivery Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Exact Location Where Incident Occurred4. People InvolvedDriver Name(Required) First Last Driver Phone(Required)Other person/s involved / witnesses(Required)5. Description of Incident / ComplaintDescribe the issue clearly(Required)Upload PhotoMax. file size: 128 MB. 6. Goods / Property InvolvedGoods Items damaged or affected:Estimated Value(Required)Condition before(Required) Non-applicable Good condition Existing damage noted Not checked Photos taken before loading(Required)Max. file size: 128 MB. Preferred Outcome(Required) Refund Repair Replacement Investigation 7. NotesAdd any extra notesNotes(Required)Consent(Required) I confirm the information provided is true and accurate to the best of my knowledge.Signature(Required)Your NameYour NameYour NameYour Name
