Customer Complaint Form

Your Name *

Your Phone Number *

Your Email *

Product Name *

Purchase Date

Location Purchased From

Batch ID Information

Refer to samples as a guide of where to locate the Batch ID, Usually on the back or side
of the packaging. Labeled as "BID"

Type of Issue:

Product

Service

Other

Description of the Problem *

Desired Resolution

Supporting Evidence As Detailed As Possible

Photos/Videos Attached (Original packaging material/container/images of the Batch ID

Receipt Attached