Claims

Natural person Legal person

Names and surnames*

Document type

Document number*

Address*

Telephone / Cellphone*

Email*

I am of age I am a minor

Ticket number / Sales invoice

Fecha del incidente

Claim (Disagreement with the product or service) Complaint (Discomfort regarding customer service)

Product Service

Type of currency

Amount paid

Response you received from the service provider

Product or service detail*

Detail of the claim or complaint*

Select if you are not a robot

I declare that I am the owner of the content of this form, stating under a sworn statement the facts described in it.