Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Information
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Date Escalation Received
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Escalation ID (if available)
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Market Involved in Escalation
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Point of Contact for Escalation
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Customer Information
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Account Number
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Account Holder
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Address
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Phone Number
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Customer Since
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Monthly Recurring Bill
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Services Used
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What caused the current escalation
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What is the customer requesting
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When was escalation resolved or expected to be resolved (Date/Time)
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Who validated escalation is completed? List all parties involved
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What was done exactly to resolve escalation?
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What is the follow up with the customer to ensure expectations were met?
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Were any credits issued or due and when are they to be applied? List who applied and when as well as attach screenshot of completed credit as approved by POC.
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Contractor(s) involved in escalation
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List history of any interactions at this location for the past 6 months (based on length of escalation issues listed)
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What other departments were involved in this escalation
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Root Cause Analysis
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Issues that caused the escalation (Human Error, Training, Billing, Lack of Follow up, Equipment Issues, etc...)
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Change implemented to prevent repeat event
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Other comments
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Contractor Management
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Lit Management