Customer Complaint Form (Atlassian Theme)

First Name *

Last Name *

Email *

Phone Number

Complaint Type *

Select a Option

• Product
• Service
• Billing
• Shipping
• Other

Date of Incident *

Order Number/Transaction ID

Urgency of the Complaint

Select a Option

• Low
• Medium
• High

Complaint Description *

Attachments

supporting documents such as receipts, screenshots, or photos.

Attach File

No Choosen File

(Max 2 MB)

I agree to the Terms & Conditions and consent to the use of my data for resolving this complaint.

Submit

If you want to build a strong relationship with your customers, listening to your customers’ complaints and resolving them is non-negotiable. That is why you need a proper system to collect all the complaints and to save the brand’s trust.

You can use the WordPress Customer Complaint Form by Bit Form to simplify the entire complaint resolution process.

Why use a structured online complaint form?

Just imagine, when a customer sends a message saying, “Your product didn’t have this feature,” But… no name, no order number, no explanation. And you spend days just collecting details. Now, think about it: if the same person has filed a customer complaint form containing their personal info, complaint description, urgency, and even attached a picture of the problem- everything in one place.

Exactly all these elements you’ll find in our customer complaint form. So collect all the info in one go and improve your customer service. 

What’s inside a Customer Complaint Form(Atlassian Theme)?

• Customer Contact Information – Collect names, emails, and phone numbers for smooth follow-up.
• Complaint Type Selector – This field helps customers choose where they faced the problem, like with a product, service, billing, or something else. It makes it easier to send the complaint to the right team.
• Order Details & Complaint Date – This is good for tracking and managing multiple issues.
• Urgency Indicator – This will indicate which issues need immediate attention.
• Detailed Description & File Upload – Get context-rich information and supporting files for faster resolutions.
  

After setting up the form, you can easily publish this form anywhere in your website.

Whether you’re a small business or a growing team, this customer complaint handling form helps build better relationships and keeps your service process smooth and professional.

Start resolving customer complaints the smart way.

Try the Customer Complaint Form Template by Bit Form, which is customizable, efficient, and ready to improve your customer experience today.