Customer Comments Form – MAX Transit – Birmingham Jefferson County Transit Authority

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Customer Feedback Form

A designated Supervisor/Manager will be notified of your comment immediately following your submission of this completed form.

The Supervisor/Manager assigned to handle the incident will have up to five (5) business days to investigate and determine the disposition of the matter. Once a determination has been made, you will be contacted via phone, email or post office.

Customer Name

Date Time Title*

Select Date ×

Address Title*

Recipient

Address line one

Address line two

Address line three

Country

Province

Postal Code

City

State

Home Phone

Cell Phone

Alternate Contact Information

Date of Incident ×

Time of Incident ×

Location of Incident

Locating

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Bus Route

Coach No.

Inbound

Outbound

Complaint

Compliment

Taken by (CSR Name)

Date Received ×

Complaint/Compliment

Customer Feedback Form

Location of Incident

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