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.
Customer/Consumer Information
Date of Complaint
MM
/
DD
/
YYYY
Time
:
Name of Complaint Issuer
Your answer
Address & Email Address
Your answer
Phone Number
Your answer
Food Service or Retail
Store or Restaurant Name
The store or restaurant where the product was purchased.
Your answer
Product Information
Product Name
Your answer
Product Order Code:
Your answer
Best Before Date (if applicable)
Your answer
Product Lot Code
Four digit code printed on package or applied to package with a yellow sticker
Your answer
Nature of Complaint
Required
Details of Complaint
Provide a short summary of the nature of the complaint and the frequency of occurrence.
Your answer
Will samples be provided?
If yes, to samples being provided, to whom have they been addressed to? What is the estimated arrival date?
Your answer
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