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Libro de Reclamaciones

Formulario de Libro de Reclamaciones

    Name*

    Surname *

    Second surname *

    Documentation type *

    Documentation number *

    Cell phone*

    Department*

    Province*

    District*

    Address*

    Reference

    E-mail *

    Are you a Minor?

    Father / Mother / Guardian

    Name

    E-mail

    Documentation type

    Documentation number

    Detail of the claim and consumer order

    Claim Type*

    Type of consumption *

    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: *


    * 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.