Incident complaint form template

We're sorry you had a negative experienceWhat's your name?Please tell us about the incidentOn what date did the incident occur?What could we have done to avoid the incident taking place?We'd like to make things right. How would you like us to contact you about the incident?

By telephone, By email

What's your phone number?What's your email address?Thank you for the information. We'll be in touch soon.

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Capture incident reports with ease

If you’re responsible for dealing with incidents when they happen at your place of work, or in the organization you run, it’s important you have a system in place for capturing them. An incident complaint form can help you gather all the details, so you can make things right.

With Typeform, you can customize everything

Change text, colors, and even logos to match the look and feel of your brand. Then embed forms smoothly onto web and email.

Make forms feel effortless to fill out. Pace questions, call people by their name, and adapt the flow based on the data they share.

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Incident complaint form FAQs:

Whether you run an organization, group or place of work, it’s important that you have an established process for dealing with incidents as they arise. Allowing people to make complaints about these incidents gives you a chance to learn and grow from it.

Make sure you include open-ended questions in your incident complaint form, so you can better understand why the incident occured, and what measures can be taken so that it doesn’t happen again.