JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
DKM Client Complaint Form
This online Form will automatically be sent to Client services. After receiving and capturing of this form a sms will be sent to you as acknowledgement of your submission.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Surname
*
Your answer
Phone No
*
Your answer
Address (Location where the complaint exist)
*
Your answer
Ward
Your answer
Customer Care Types
*
Complaint
Compliment
Request
Describe the Complaint / Compliment / Request as specific as possible.
*
Your answer
Account No (only required when complaint is on a specific Account)
Your answer
Email
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Dawid Kruiper Municipality.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report