Complaints book Consumer claimant identification Name First Surname Second Surname Phone number Document type Document selectionDNICEPassportRUC Document number Department Province District Address Reference Email Are you a minor? YesNo Padre / Madre / Tutor Name Email Document type Document selectionDNICEPassportRUC Document number Complaint details and consumer order Complaint type Complaint typeClaim (1)Complaint (2) Type of consumption Type of consumptionProductService Order number Complaint/Complaint date Supplier Claimed amount (S/.) Product or service description Purchase date Consumption date Expiration date Details of the Complaint/Complaint, as indicated by the customer Customer's order Claim: Disagreement related to products and/or services. Complaint: Disagreement not related to products and/or services; or, discomfort or dissatisfaction with customer service. Filing a claim does not exclude resorting to other dispute resolution methods, nor is it a prerequisite for filing a complaint with Indecopi. The supplier must respond to the claim within a period not exceeding thirty (30) calendar days, with the possibility of extending the period up to thirty days. By signing this document, the customer authorizes being contacted after the resolution of the claim to assess the quality and satisfaction of the claims handling process. I declare that I am the owner of the service and accept the content of this form by stating under oath the truthfulness of the described facts. I declare that I am the owner of the service and accept the content of this form by stating under oath the truthfulness of the described facts. I have read and accept the privacy policy. I have read and accept the privacy policy. Submit information
