Cleaning Services Incident Resolution Form

This form is to document any incidents occurring during our cleaning services. Please provide details of the incident, actions taken, and follow-up steps. Signatures indicate agreement on resolution. Thank you for your cooperation.

Date: [Date]

Client Name:	[Your Company Name]
Client Contact:	[Your Name]
Service Location:	[Your Company Address]

Incident Details

Date & Time of Incident	Location of Incident	Nature of Incident	Description

Actions Taken

A. Immediate Response

B. Client Notification

C. Resolution Steps

D. Follow-up Communication

Preventative Measures:

To prevent future incidents, please outline measures to avoid similar occurrences. Your input is valuable for enhancing service quality.

Client Feedback:

Your feedback is essential. Kindly indicate satisfaction level and provide any additional comments. Your input helps us improve our services.

A. Client Satisfaction

• Satisfied

• Partially Satisfied

• Unsatisfied

B. Additional Comments

Signature:

Please sign to confirm agreement with the incident resolution. Your signature signifies acknowledgment and satisfaction with the actions taken. Thank you.

Cleaning Service Provider Representative

[Name]

[Date]

Client Representative

[Your Name]

[Date]

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