Customer Service Report

CSR No.	Customer name
Date:	[Date]	Address
Status of call	Choose an item.	City, ST ZIP Code
Instructions from	On	[Date]

Nature of Problem

Problem reported
Location of installation

System down?	Equipment type
Call reported by	Make
Date | time	[Date | time]	Model
Serial No.	Notes

Service Details

Service rendered
Engineer’s Remarks
Status after service
Defects found on inspection

EVENTS | Date | time [Date | time] Start of service [Date | time] | End of service [Date | time]

Customer Feedback

Remarks
Please rate this call by choosing an option

Name	Designation
Phone | Fax	Email
Signature	Date

Place