Complaint form

 

 

……………….……………………
(Name of the Complainant)

……………………………………
(city, date)

…………………………………….
…………………………………….
(address of the Complainant)
…………………………………….
…………………………………….
(other Contact Information, e.g. phone number, email)
Juka Pracownia Projektowa Krzysztof Czereda
ul. Januszowicka 5/110
53-135 Wrocław
biuro@juka-pracownia.pl

COMPLAINT

 

I. Date of service non-compliance/warranty defect disclosure:

 

II. Description of the subject of the complaint/reasons for the complaint:

 

III. Complainant’s expectations for resolution of the complaint:

 

 

…………………………………
Complainant’s signature

Note! The complaint can be sent by traditional mail or by email to the address: biuro@juka-pracownia.pl