Complaint

   

 

 

 

 

 

Information

 

 

!!! This is a demonstration !!!

 

 

  Recipient of the complaint

    Please indicate the name of the recipient of the complaint

    (Fields marked with   are mandatory)

    Select the recipient :

 

 

 

 

 Recipient’s name :

 

 

 

    If the recipient is not on the list :

 

 

 

 

 Recipient’s name :

 

 E-mail :

 

 Address :

 

 Post code :    City :  

 

 Country :

 

 Telephone :

 

 

 

 

 

 

 

 

 

  Subject of the complaint

 

     Indicate the object of your complaint

       (Fields marked with   are mandatory)

    Specify the subject of your complaint :

 

 

 

 

 General category :

 

  

 

 Category :

 

 

 Suggested solution :

 

    

    Supporting documents  :

     If possible please attach to this form one copy of the supporting documents in your possession, e.g.        invoice, contract, receipt, etc.

 

 

 

 

 Supporting document  1 :

 

 Supporting document  2 :

 

 Supporting document  3 :

 

 Supporting document  4 :

 

 Supporting document  5 :

 

 

 

    Additional information, if necessary :

 

 

 

 

 

 

 

 

 

 

 

  Follow-up of your complaint

         Please provide us with your contact details

        (Fields marked with   are mandatory)

   Please give us your details so that we may contact you :

 

 

 

 

 Surname :

 

 First Name :

 

 E-mail :

 

 

 

    Additional contact details :

 

 

 

 

 Mail

 

 

 

 

 

 Address :

 

 Post code :

   City :  

 

 Country :

 

 

 

 

 Telephone

 

 

 Telephone :

 

 

 

 

 

 

 

  Sending of the complaint

          Confirm your details to ensure the  follow-up of your complaint. Thank you for filling in this form

 

 

 

 

                                    

 

 

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