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This is a document that is sent to the responsible organization by organizing inconveniences that occurred while living or using facilities, focusing on facts and requests. The information you enter is immediately reflected in the A4 preview, and you can even add your signature and stamp.

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  • Save PDF · Word (.docx)
  1. 01 Enter contentIf you fill in the input box on the left, it will be immediately reflected in the document.
  2. 02 Signature and stampPlease sign in person or upload a photo of your stamp.
  3. 03 Save as PDF · WordDownload with the print margins adjusted.

Enter content

If left blank, the field is displayed as blank.

01basic information
02Contents and confirmation items
03Signature / Seal

Sign inside the box with your mouse or finger. The background is saved as transparent.

Preview · A4

Page 1 · Actual output ratio

Civil complaint request form

BLUE FORM

receiving institutionComplaint subject
place of occurrenceDate and time of occurrence
Reply ContactPreferred reply date
Creation dateAuthor or Verifier

What happened

Requests and Attachments

Author or Verifier:(Signature or Seal)

Longer content will have an A4 border and page count. One sheet of writing instructions is added to the Word file.

What kind of document is a civil complaint request form?

This is a document that is sent to the responsible organization by organizing inconveniences that occurred while living or using facilities, focusing on facts and requests.

Please write down specifically the time, place, and phenomenon that occurred.

If you need a shared document fact confirmation · Repair request form · official documentAlso check:

Formatting

After filling out the basic information and text, leave the date and confirmation signature. The Word file includes writing instructions on a separate page.

1basic information

  • receiving institution
  • Complaint subject
  • place of occurrence
  • Date and time of occurrence
  • Reply Contact
  • Preferred reply date
  • Creation date
  • Author or Verifier

2Check with the text

  • What happened
  • Requests and Attachments
  • Date of creation and confirmation signature

I recommend this to people like this

Person who writes documents

It is used when writing content by checking all basic items.

Person in charge of receiving documents

Use it to compare what you wrote with the evidence and proceed with the next procedure.

Things you can easily miss when writing

  1. 01Please write down specifically the time, place, and phenomenon that occurred.
  2. 02Follow the official application method and identity verification procedures of the responsible agency.

Frequently Asked Questions

What information do I write in the civil complaint request form?

This is a document that is sent to the responsible organization by organizing inconveniences that occurred while living or using facilities, focusing on facts and requests. Write down the basic information, each item, and verification grounds in order, and check the date and name before submitting.

Can I submit the example content as is?

The examples are fictitious and are meant to show you how to write. Please change it to match the actual facts, amount, date, and purpose of submission before using.

Are the amounts or quantities calculated automatically?

Your input will be displayed exactly as you entered it. If numbers are included, please compare them with the original data and write down any unconfirmed information separately.

Can I add items from a word file?

yes. You can download it as an editable word file filled with content. Modify it to fit your company's or submission's format by adding the necessary table rows or paragraphs.

Where is the information I enter saved?

Your writing will not be sent to the server. If you use Drafts, they will be stored in your current browser for 7 days and can be restored by clicking Continue in the same browser. On shared devices, tap Erase after use. Signature/stamp images are not temporarily stored.

This is a form for general practical use. If there are any forms and procedures specified by the company or submission agency, check them first.

Customer Service Request Reviews

These are stories left by people who actually filled out and submitted civil complaint requests. It contains notes on areas where you got stuck while writing or the results after submission, so it is often more helpful than a guide for first-time users.

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