Incident Report Form

We are sorry any inconvenience that may have been caused. Improving our ability to deliver high quality, responsive and effective services in important to us. It is our policy that all incidents, issues or disservices are written, submitted and reviewed by our Quality Control Team. We will be in touch soon, thank you for your feedback. Please complete simple form below.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Company / Organization Name

Please write a brief outline describing the incident(s)

Please write in the name of Ruck B team members involved in incident(s).

What is the severity of the incident?

Please suggest a solution. We want to make sure we remedy and issues that we can control.

Incident Report Form

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