Resolve Retail Complaints Faster & More Effectively

Capture detailed retail product and service complaints, supporting evidence, and desired resolutions with this easy-to-use customer complaint form template.

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Volt theme

formbuilder.ai/f/retail-store-product-service-customer-complaint-form

Retail Store Product & Service Customer Complaint Form

Full Name

· · ·

Email Address

· · ·

Phone Number

· · ·

Submit

The Retail Store Product & Service Customer Complaint Form is designed to help retail businesses systematically collect, manage, and resolve customer complaints. It captures essential customer information, incident details, product or order references, and supporting evidence such as photos and receipts — giving your team everything needed to act quickly and fairly.

This template is ideal for retail store managers, customer service teams, and e-commerce businesses that want a structured process for handling complaints professionally. By standardizing how complaints are submitted, you reduce back-and-forth communication and resolve issues faster, improving customer satisfaction and brand loyalty.

With built-in fields for urgency rating, overall experience score, and preferred resolution, this form empowers customers to clearly express what went wrong and what outcome they expect. Use it in-store, online, or embedded on your website to demonstrate your commitment to exceptional customer service and continuous improvement.

3 Pages

19 Questions

~6min To complete

Free No credit card needed

Field types Short Text ×3 Single Choice ×2 Long Text ×2 Full Name Email Phone Address Date currency File Upload Priority Selection Star Rating Multiple Choice termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Customer Information 5 questions

Customer Information

1 Full Name * Full Name

2 Email Address * Email

3 Phone Number Phone

4 Mailing Address Address

5 Loyalty/Membership Number (if applicable) Short Text

Page 2 Complaint Details 9 questions

Complaint Details

1 What is your complaint about? * Single Choice

2 Store Location or Order Number * Short Text

3 Date of Incident * Date

4 Product Name or SKU (if applicable) Short Text

5 Amount Paid currency

6 Please describe your complaint in detail * Long Text

7 Upload supporting evidence (photos, receipts, screenshots) File Upload

8 How urgent is this complaint? * Priority Selection

9 How would you rate your overall experience? * Star Rating

Page 3 Resolution & Submission 5 questions

Resolution & Submission

Desired Resolution

1 What resolution would you prefer? * Multiple Choice

2 Additional comments or preferred resolution details Long Text

3 How would you like us to follow up? * Single Choice

4 I confirm that the information provided is accurate and I consent to being contacted regarding this complaint. * termsandconditions

5 Customer Signature Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.