Libro de Reclamaciones

Complaining Consumer Identification * Required data

Name *

First Lastname *

Second Lastname *

Type of documentation *

Documentation number *

Celphone *

Department *

Province *

District *

Address *

Reference

Email *

Are you a minor?

Yes

Father / Mother / Tutor

Name

Type of documentation

Number of document

Detail of the Claim and Consumer Order * Required data

Claim Type *

Type of consumption *

Order No. *

Claim / complaint date

Provider

Reclaimed amount (S/.)

Description of the product or service *

Date of purchase

Date of Consumption

Expiration date

Detail of the Claim / Complaint, as indicated by the client: *

Client order: *

(1) Claim: Disagreement related to products and / or services.
(2) Complain:Disagreement not related to products and / or services; or, discomfort or dissatisfaction with the attention to the public.

I declare that I am the owner of the service and I accept the content of this form by stating under an Affidavit the veracity of the facts described.

I have read and accept the Privacy and Security Policy and the Cookies Policy.

The formulation of the claim does not preclude resorting to other means of dispute resolution nor is it a prerequisite for filing a complaint with Indecopi.

The provider must respond to the claim within a period of no more than thirty (30) calendar days, being able to extend the period up to thirty days.

By signing this document, the client authorizes to be contacted after the claim has been dealt with in order to evaluate the quality and satisfaction with the claims service process.