Corrective Action/System Improvement
Questions marked by * are required.
1. Client Name: *
2. Client Contact: *
3. Conducted by: & Date:
4. Reference Lab#/Invoice:
5. Complaint:
  • TAT
  • Courier Service
  • Web Service/IT
  • Quality of Data
  • Invoicing Issues
  • Missed Holding Times
  • Clerical
  • Customer Service
  • Incorrect Tests/Methods
  • Bottle Orders
  • D.L's
  • QC Issues(flagging)
  • Reporting Issues
  • Other
6. Explanation of Customer Complaint:
7. Request a call back:
  • yes
  • no
8. Phone or Email: