Customer Feedback Form

LABS, Inc. is committed to providing a quality service and achieving the highest standards. One of the ways in which we continue to improve our service is by listening and responding to the views of our clients. We have provided an electronic form below as another option for communicating with LABS.

Please ensure that you provide us with the following:

Your account number;
Sample accession number and ID;
Your Name;
What your compliment/complaint is regarding;
Please provide as much relevant detail about your compliment/complaint for example dates and names;
If filing a complaint, say what you feel is wrong and what we can do to improve our service to you, the client.

* = Indicates Required Field
* Client Name:
* Account Number:
* Accession Number:
* ID Number:
Contact Information Details
* Contact Name
Phone:	format (xxx)xxx-xxxx
Email Address:
	format (test@test.com)
Street Address:
Street Address (cont):
*City:
*State:
*Zip Code:
Do you require a Response Letter?	Yes No
Description of Compliment/Complaint: