Complaint Identification
Date Received *
Complaint Channel *
Complaint Type *
Severity *
Priority *
Customer Information
Customer ID
Customer Name *
Customer Type *
Contact Phone *
Contact Email
Preferred Contact Method
Complaint Description
Complaint Summary *
Detailed Description *
Transaction Date (if applicable)
Transaction Amount
Branch/Location
Handling & Workflow
Assigned Business Unit *
Assigned Officer
Status *
Acknowledgement Date
SLA Due Date *
Escalation Level
Resolution Date
Investigation & Resolution
Root Cause
Resolution Category
Investigation Findings
Resolution Action
Compensation Type
Compensation Amount
Compliance & Regulatory
Regulator Name (if referred)
Regulatory Deadline
Closure & Feedback
Closure Date
Closure Reason
Customer Satisfaction Score (1-5)
Customer Feedback Comments
Lessons Learned
Supporting Documents
Attachments