Customer Service Report

CSR No.

Customer name

Date:

Address

Status of call

Choose an item.

Instructions from

City, ST ZIP Code

On

Nature of Problem
Problem reported
Location of installation
System down?

No

Equipment type

Yes

Call reported by

Make

Date | time

Model

Serial No.

Notes

Service Details
Service rendered
Engineers Remarks
Status after service

Complete

Incomplete

Pending for spares

Under observation

Working solution provided

Defects found on inspection

EVENTS | Date | time

Start of service

End of service

Customer Feedback
Remarks
Please rate this call by
choosing an option

Extremely satisifed

Satisifed

Name

Designation

Phone | Fax

Email

Signature

Date

Place

Dissatisfied

Annoyed