Computer Repair Service Complaint Form
Please fill out this form to report any issues with your computer repair service. All fields are required unless marked optional.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Device Type
*
Please Select
Laptop
Desktop
Tablet
All-in-One PC
Other
Device Brand and Model
*
Service/Repair Reference Number
*
Date of Service
*
-
Month
-
Day
Year
Date
Technician or Shop Name
*
Complaint Category
*
Please Select
Incomplete Repair
Recurring Issue
Customer Service Issue
Delayed Service
Damaged Device
Unexpected Charges
Other
Describe the Issue in Detail
*
Requested Resolution
*
Please Select
Repair Reattempt
Refund
Replacement
Contact from Manager
Other
Upload Supporting Documents (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Complaint
Should be Empty: