Frozen Food Product Complaint Form
Use this form to report a problem with a frozen food product, share product and purchase details, and describe the issue so it can be reviewed.
Complainant Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Phone
Text Message
Product and Purchase Details
Product Name
*
Brand
*
Product Type / Category
*
Please Select
Vegetables
Fruit
Meat
Poultry
Seafood
Ready Meals
Desserts
Ice Cream
Snacks
Bakery
Other
Package Size or Unit Count
Lot/Batch Code
Best-Before / Use-By Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Purchase
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Store / Retailer Name
*
Purchase Location (City/State or Store Branch)
Complaint Details
Complaint Type
*
Spoilage
Freezer Burn
Packaging Damage
Foreign Object
Temperature Abuse
Missing Contents
Off Taste/Odor
Other
Severity / Impact Level
*
Minor
1
2
3
4
5
6
7
8
9
Severe
10
1 is Minor, 10 is Severe
Detailed Issue Description
*
Was the Product Opened Before the Issue Was Noticed?
*
Yes
No
Not Sure
Approximate Amount Affected
Date and Time Issue Was Discovered
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Storage Conditions at Home or After Purchase
Frozen Properly
Temporarily Thawed
Re-Frozen
Left in Cooler/Vehicle
Unknown
Other
Are Photos Attached?
Yes
No
Attach Photos
Upload a File
Drag and drop files here
Choose a file
Cancel
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Is the Product or Package Available for Inspection?
*
Yes
No
Maybe
Requested Resolution
*
Refund
Replacement
Investigation
Contact Me for More Information
Other
Submit Complaint
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