Adjustment Form

Adjustment Form

Great as a general complaint template, this adjustment form can be filled in by unhappy clients and customers.

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Description




Adjustment Form

Name of Complainant                                         
Date of Complaint                                         
Name and Location of Store/Company                                         
Name of Responder                                         
Date of Response                                         
Adjustment Requested                                         
Approved Adjustments                                         
Rejected Adjustments                                         
Effective Date                                         
Refund/Compensation Amount                                         
Name of Recipient                                         
Phone Number of Recipient                                         
Address of Recipient                                         
Received and Recorded by                                         
Date                                         

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