Mesa Employee Intranet

Complaint Resolution Official Statement

Report of complaint alleging violation of 14 CFR Part 382

TO BE COMPLETED BY CRO

FLT#:

DATE:

ORIGIN:

DESTINATION:

PASSENGER'S NAME:

PASSENGER'S E-MAIL:

PASSENGER'S ADDRESS:

PASSENGER'S PHONE:

RECORD LOCATOR:

STATEMENT OF FACTS: (Explain who was involved and what happened)

APPLICABLE SECTIONS OF PART 382: (Specify the sections and references regarding this situation)

DID A VIOLATION OCCUR?

YES

CORRECTIVE ACTION TAKEN: (What follow up or communication occurred with the agent(s) involved?)

WAS THE MATTER RESOLVED TO THE CUSTOMER'S SATISFACTION?

YES

CRO NAME:

ID#:

PHONE:

CO-MAIL ADDRESS:

CRO SIGNATURE:Click here to sign

*After completion this form, a "Print View" version of the document will appear. Print two copies. Distribute one copy to the customer, one copy will remain at the Station, and a copy will be emailed to the Customer Relations Department.