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https://crowdedroad.zendesk.com/requests/262417/satisfaction/new/lNrXpwk6wOn57F6lbdiEOZEiz?locale=1&intention=16
Submission: On July 07 via manual from US — Scanned from US
Submission: On July 07 via manual from US — Scanned from US
Form analysis
1 forms found in the DOMPOST /requests/262417/satisfaction/lNrXpwk6wOn57F6lbdiEOZEiz
<form action="/requests/262417/satisfaction/lNrXpwk6wOn57F6lbdiEOZEiz" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
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<input name="token" type="hidden" value="lNrXpwk6wOn57F6lbdiEOZEiz">
<input value="16" type="hidden" name="ticket[satisfaction_score]" id="ticket_satisfaction_score">
<label for="ticket_satisfaction_rating">How would you rate the support you received?</label>
<div id="satisfaction-rating-buttons">
<input id="satisfaction_rating_good" name="satisfaction_rating" type="radio" value="good">
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<span class="long"> Good, I'm satisfied </span>
<span class="short"> Good </span>
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<input id="satisfaction_rating_poor" name="satisfaction_rating" type="radio" value="poor">
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<span class="icon"></span>
<span class="long"> Bad, I'm unsatisfied </span>
<span class="short"> Bad </span>
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<div style="display: none;">
<label for="ticket_satisfaction_reason_code">What is the main reason you are unsatisfied?</label>
<select name="ticket[satisfaction_reason_code]" id="ticket_satisfaction_reason_code">
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<option value="1003">Not satisfied with Response Time</option>
<option value="1002">Not satisfied with Resolution</option>
<option value="1000">Not satisfied with Product</option>
<option value="1009">Something else</option>
<option value="1001">Not satisfied with Agent</option>
<option value="100">Some other reason</option>
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<label for="ticket_satisfaction_comment">Add a comment about the quality of support you received (optional):</label>
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<div id="rating-form-actions">
<button name="button" type="submit" class="btn btn-primary submit">Update</button>
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Text Content
Your rating has been saved. You can still change your rating, or add a comment, and then click update. RE: [EXTERNAL] PLEASE REVIEW: COLLISION OTHER THAN COLLISION OTC ACKNOWLEDGEMENT-5 (#262417) Jenny Singh Assigned agent How would you rate the support you received? Good, I'm satisfied Good Bad, I'm unsatisfied Bad What is the main reason you are unsatisfied? Not satisfied with Response Time Not satisfied with Resolution Not satisfied with Product Something else Not satisfied with Agent Some other reason Add a comment about the quality of support you received (optional): Update GIARD, MARIE L July 2, 2022, 10:19 Good morning, I have received your report, but I am unable to open – Can you please resend to claims@amica.com and enter only the file number in the subject line. Sorry for the inconvenience. Thank you & Have a great day! Happy 4th From: Joseph Brouillard via Fill <no-reply@fill.xyz> Sent: Monday, June 27, 2022 8:48 PM To: GIARD, MARIE L. <MGIARD@AMICA.COM> Subject: [EXTERNAL] Please review: COLLISION OTHER THAN COLLISION OTC ACKNOWLEDGEMENT-5 Sender: Joseph Brouillard (jrbrouillard@gmail.com) Message: Claim Number 60004367042 letter. If theres additional info that you need from me, please let me know. Regards, Joseph Brouillard COLLISION OTHER THAN COLLISION OTC ACKNOWLEDGEMENT-5 OPEN [fill.page.link] [apps.apple.com] [play.google.com] [microsoft.com] [apps.apple.com] Use Fill online to fill, sign and return this document for free. -------------------------------------------------------------------------------- This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to which they are addressed. Contact us if you have any questions related to the content of this email or if you have received it in error. Confidential and personally identifiable information should not be transmitted to Amica via email or email attachment. Amica is not responsible for the loss, use or misuse of confidential or personally identifiable information which is sent to Amica via email or email attachment. Contact us if you have any questions about our policy.