Complaints book

Datos del Consumidor

Consumer Data

Natural Person Legal Person

Name

Document Type

Document Number

Address

Phone

Mail

Ticket number / Sales invoice

Date of incident

Type of claim

Complaint (Dissatisfaction with the product or service) Complaint (Discomfort regarding customer service)

Well hired

Product Service

Type of currency

Amount paid

Response received from the service provider

Product or service details*

I declare that I am the owner of the content of this form, stating under oath the facts described therein.