Please express any dissatisfaction you have had traveling with Queens Village Car Service. Your input allows us to better serve you in the future. If you or a family member have had poor experience with any members of our staff, please fill out this report so that we can address the issue and resolve it promptly.
Incident Report
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Passenger Information
*Passenger First Name
*Passenger Last Name
*Contact Person
*Contact Phone Number
Relationship
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Trip Information
Confirmation Number
Pick-Up Location
Destination
Car Number
Account No.(If Available)
Date of Trip
Pick-Up Time
Incident Information
Description of Service Incident
