Taxi Champlain - FEEDBACK/COMPLAINT

FEEDBACK/COMPLAINT

Please complete the following form to give us feedback on our service or to report a complaint.

It is important to remember that you must include as much information as you can remember about the incident.

In order for the discipline committee to process or investigate the incident, you must include the following in your statement.

First Name:

Last Name:

Telephone:

Email:

Date of incident:

Time of incident:

Location of incident:

Vehicle dome no.:
(3 digit # on the roof of the vehicle)

Driver's name or permit no.:
(5 digit # on driver's picture I.D.)

Did you call our dispatch center for a taxi ?

Yes
No

IF YES
Pickup Address:
(include app # or given name)

Message:
(Max 600 chars)