Form Center

2. Department of Fleet Management
   Central Garage/Parts Room, 333 Chippewa St., Baton Rouge, LA 70805
4. Unit #:
5. Date:
   Date:
7. Service Requested:
9. How would you rate customer service?*

   1. Poor
   2. Fair
   3. Good
   4. Great
   5. Excellent
10. How would you rate work done?*

    1. Poor
    2. Fair
    3. Good
    4. Great
    5. Excellent
12. How would you rate overall service?*

    1. Poor
    2. Fair
    3. Good
    4. Great
    5. Excellent
13. How long was your wait?
15. Comments:
17. Submission
    Select Email option to submit this form online. You may print a copy for your records. If immediate action is needed, call 225-389-3179, ext. 207.
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit Submit and Print

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