complaintform ⋆ MegaNurse.comAffordable Health Care at Home

complaintform

We are sorry your experience with our services was less than expected. We take your comments and complaints seriously and want to try our best to come to a resolution that is satisfactory to our customers. The form below is utilized to start the complaint process. Once we review the submission, we will open a complaint case and compile information to make a decision how we would like to resolve the issue. We will keep you involved and informed during this process. Thank you for taking the time to resolve this issue amicably.
Service Date*
Date Format: MM slash DD slash YYYY

Date services were provided
Reservation Name*
First Last
Name the reservation is listed under
Your Name*
First Last
Email Address*

Where to send our response
Subject Vehicle
Chauffeur or Driver
Enter your driver name if known
Detailed Complaint*
Enter detailed information concerning your complaint
What would best resolve this complaint*
Detail how you would like us to resolve this complaint
Attached Documents
Drop files here or

Accepted file types: pdf.
Attach documents you would like us to consider in this compaint. They must be in PDF format
CAPTCHA

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