Customer Service Employee Nomination Form

Did you receive outstanding service from an AmCOMP employee?  We would love to hear from you! Please complete the following form and share your experience.

I would like to recognize (employee name)*
Who works in*
I experienced excellent customer service on (date)*
I experienced excellent customer service at (time of day)*
Please provide details about your experience*
Your name
Your company
Your email address
Your telephone number
Please enter the security code*
All fields marked with an asterisk (*) are mandatory.