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GENTEEL PLUMBERS

Phone (415) 484-3631
Email [email protected]
Hours 24 hours a day, 7 days a week
CSL # 1025814

1314 22nd Avenue #007
San Francisco CA, 94122

1181 Revere Avenue
San Francisco CA, 94124

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Please fill out the following form and we’ll get back to you.

YOUR INFORMATION
First and Last name:*
Email address:*
Phone number:*
Address*
Street Address City State ZIP Code
WHO IS YOUR COMPLAINT AGAINST
Name of Company:*
Location:*
City State
Name of Technician:*
First
SERVICE BEING DISPUTED
Invoice number:*
Date of service:*
Date Format: MM slash DD slash YYYY
Time of service:*

: HH

MM
Address of Job:*
Street Address City State ZIP Code
When did the incident occur?*
Date Format: MM slash DD slash YYYY
What was the original service call for?*
What service is this in reference to?*
Service performed:*
Did you sign a service agreement?*
- Yes
- No
Please describe below your experience with service in question:*
Please describe below what you are requesting to be done as result of said service:*
How was this service paid for?*
Did you verbally agree to pay a dispatch/inspection fee when booking the service?*
- Yes
- No
Are you a landlord or a tenant?*
- Landlord
- Tenant
If tenant, did your landlord consent to service work performed?
- Yes
- No
Was an estimate presented to you?*
- Yes
- No
After service was done did you personally witness and inspect for yourself that said service was working well and/or resolved?*
- Yes
- No
Was a service price agreed upon before starting work?*
- Yes
- No
Are you looking for a refund?*
- Yes
- No
If yes, amount being requested for refund:
How would you like this refunded?
Did you notify your plumber that service performed, was sub-par or done incorrectly?*
- Yes
- No
Did your plumber explain the service procedure?*
- Yes
- No
How soon was the dispute acknowledged?*

15

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