Customer Complaint
Please include all details of the complaint in this form. If your complaint is of a food safety concern, please phone 506-867-0760 and request to speak with the QA Department.
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Customer/Consumer Information
Date of Complaint
MM
/
DD
/
YYYY
Time
:
Name of Complaint Issuer *
Address & Email Address
Phone Number
Food Service or Retail
Store or Restaurant Name
The store or restaurant where the product was purchased.
Product Information
Product Name *
Product Order Code:
Best Before Date (if applicable)
Product Lot Code
Four digit code printed on package or applied to package with a yellow sticker
Nature of Complaint *
Required
Details of Complaint *
Provide a short summary of the nature of the complaint and the frequency of occurrence.
Will samples be provided?
Clear selection
If yes, to samples being provided, to whom have they been addressed to? What is the estimated arrival date?
Submit
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