Anonymous

Cancellation Feedback Form

For feeding back information relating to cancellations

Use this Template

Print as PDF

Use this Template

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Information

Job Number
Engineer Tech ID
Conducted on
Location

Reason for Cancellation Building work Customer driven
- NLOS
- H&S Impossible
- Dish & Cable Options
- Customer No Show
- Adverse Weather
- Building Work
- Other
Reason
More Cancellation Information
Is SAT required?
2nd Opinion Obtained?
2nd Opinion Engineer Tech ID
Why?
What have we done to try and avoid the cancellation? -
Cancellation Reason - Primary Building work
Cancellation Reason - Secondary
Cancellation Reason - Any other important information

Confirmation Signatures

Engineer -
Was a 2nd Engineer present?
2nd Engineer Signature

Anonymous

Cancellation Feedback Form

For feeding back information relating to cancellations

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.