Complaints Book

Document type *

Document number *

Names *

Paternal surname *

Maternal surname *

Phone *

Email *

Department *

Province *

District *

Address *

Reference (optional)

Type of good contracted *

Reclaimed amount *

Description *

Incident type *

Detail *

Order *

(1) Claim: Disagreement related to products or services.
(2) Complain: Non-conformity related to the products or services; or, discomfort or dissatisfaction regarding the attention to the public.

The response to this will be answered by email to the address that you have entered in this claim form.