Breaking News:
Name*
Surname *
Second surname *
Documentation type *
—Por favor, elige una opción—DNICEPassportRUC
Documentation number *
Cell phone*
Department*
—Por favor, elige una opción—AMAZONASANCASHAPURIMACAREQUIPAAYACUCHOCAJAMARCACALLAOCUSCOHUANCAVELICAHUANUCOICAJUNINLA LIBERTADLAMBAYEQUELIMALORETOMADRE DE DIOSMOQUEGUAPASCOPIURAPUNOSAN MARTINTACNATUMBESUCAYALI
Province*
—Por favor, elige una opción—
District*
Address*
Reference
E-mail *
Are you a Minor?
YesNo
Name
E-mail
Documentation type
Documentation number
Claim Type*
—Por favor, elige una opción—ClaimComplain
Type of consumption *
—Por favor, elige una opción—ProductService
Order number. *
Supplier*
Claimed amount (S/.)*
Date of claim / complaint*
Description of the product or service *
Date of purchase *
consumption date *
Date of Expiry*
Detail of the Claim / Complaint, as indicated by the client:*
Client's order: *
I declare that I am the owner of the service and I accept the content of this form by declaring under Sworn Statement 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 exclude recourse 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 not exceeding thirty (30) calendar days, and may extend the period up to thirty days.
* By signing this document, the client authorizes to be contacted after the claim has been processed to assess the quality and satisfaction of the claims handling process.
