Complaint form that captures facts, dates and desired outcome
A good complaint form turns frustration into facts you can act on. It asks for the person's contact details, the date, an order or case reference, what happened, the outcome they would like, and optional evidence such as a document or a photo.
Who it is for
- Shops, service providers, landlords and agencies
- Associations and schools that receive formal complaints
- Anyone who wants to respond to complaints in writing and in an organised way
When to use it
Link it from your contact page or your terms. Asking what outcome the person wants from the start clarifies what you are being asked to do, whether a refund, a correction or an apology.
What the form asks
Questions
- Full name · requiredShort text
- Email address · requiredEmail
- Phone numberPhone
- When did it happen? · requiredDate
- Order, booking or case referenceShort text
- What happened? · requiredLong text
- What outcome would you like? · requiredLong text
- Evidence (PDF, PNG or JPEG)File upload
Every question can be changed, removed or reordered before you publish.
The PDF your respondents receive
Each complaint is saved as a PDF with its date and every answer, and the evidence is attached to the response. It gives you a clear record to reply to and to keep if the matter goes further.

Questions people ask
- Does it manage the complaint process?
- No. It records the complaint. You respond and track the case in your own way.
- Can people attach evidence?
- Yes. They can attach a document or a photo as a PDF, PNG or JPEG file, which is saved with their complaint.
- Are there legal requirements for complaint handling?
- Some sectors have specific rules and deadlines. Check what applies to your activity.
Start from this template
Create an account, adapt the questions and the document to your business, then share the link. Your respondents get their PDF the moment they finish.