DA Form 5477 Customer Complaint Record

DA Form 5477 or the "Customer Complaint Record" is a Department of the Army-issued form used by and within the United States Military.

The form - often incorrectly referred to as the DD form 5477 - was last revised on March 1, 2008. Download an up-to-date fillable DA Form 5477 down below in PDF-format or look it up on the Army Publishing Directorate website.

ADVERTISEMENT
CUSTOMER COMPLAINT RECORD
For use of this form, see DA PAM 5-20; the proponent agency is ACSIM.
DATE OF COMPLAINT
TIME OF COMPLAINT
SOURCE OF COMPLAINT
ORGANIZATION
INDIVIDUAL
NATURE OF COMPLAINT
CONTRACT REFERENCE
VALIDATION
DATE CONTRACTOR INFORMED COMPLAINT
TIME CONTRACTOR INFORMED OF COMPLAINT
(Responsible officer)
(Responsible officer)
ACTION TAKEN BY CONTRACTOR (Responsible officer)
RECEIVED AND VALIDATED BY
NOTE: (
) Used for in-house operation.
DA FORM 5477, MAR 2008
APD LC v1.01ES
PREVIOUS EDITIONS ARE OBSOLETE.
CUSTOMER COMPLAINT RECORD
For use of this form, see DA PAM 5-20; the proponent agency is ACSIM.
DATE OF COMPLAINT
TIME OF COMPLAINT
SOURCE OF COMPLAINT
ORGANIZATION
INDIVIDUAL
NATURE OF COMPLAINT
CONTRACT REFERENCE
VALIDATION
DATE CONTRACTOR INFORMED COMPLAINT
TIME CONTRACTOR INFORMED OF COMPLAINT
(Responsible officer)
(Responsible officer)
ACTION TAKEN BY CONTRACTOR (Responsible officer)
RECEIVED AND VALIDATED BY
NOTE: (
) Used for in-house operation.
DA FORM 5477, MAR 2008
APD LC v1.01ES
PREVIOUS EDITIONS ARE OBSOLETE.

Download DA Form 5477 Customer Complaint Record

1367 times
Rate
4.6(4.6 / 5) 191 votes
ADVERTISEMENT