Animal rights complaint form

Animal Rights Complaint

Thank you for calling our customer service department. Please share your feedback by filling in the information below.

Date of Call (MM/DD/YYYY)

Time of Call

Notes on other calls made. Include names, dates and phone numbers.

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Briefly describe the issue that caused you to contact Richardson Animal Rescue.

What is the nature of your concern?

If you are a rescue group be sure to supply name number and email address as listed on this form.

I am one of the following:

Rescue Group

Concerned citizen

Neighbor of pet in need

From the time you first spoke with the representative, how long did it take to resolve the issue?

Regarding this concern I have the following:

Pictures of the problem

Recordings

Detailed records dates, times and names of person(s) contacted

Letters to the newspapers

Letters/emails and calls to County Manager

Letters/emails and calls to rescue groups

I will forward to Richardson Animal Rescue all information I have

How many calls to animal control and other agencies did you have to make before the issue was resolved?

Overall, how satisfied were you with customer service?

Comments

When corresponding with other agencies

It is fine to use my name

Please don't use my name

I would like to make a donation to help homeless and abused pets. Donations can be passed along to other rescue groups if indicated.

Name on Card

Credit Card Type

Credit Card Number

CSC Code

Expiration Date (mm/yy)

Amount (tax deductible donation)

Indicates Response Required


This form created at http://www.formsite.com/