Teisinis

Customer or company*

Full name of the customer or company

Representative customer or company

If someone else is submitting the complaint on behalf of the customer or company

Customer type*

Choose the correct type

customer_type

Natural Person Legal entity

Personal ID code / Registry code

Personal identification number for the natural persons and company registration number for the legal entities. Required field if there is a financial claim as result of the complaint. We might ask for the ID and additional details for further identification of the customer.

Phone

with the country code +

Type of complaint*

Choose the correct type

complaint_type

Date of Incident*

When the dissatisfactory incident occurred

Description of Issue*

Description of the customer’s rights allegedly violated

Circumstances of incident

Details around how/when the incident occurred. Optional if covered under Description of Rights Violated

Evidence

Upload relevant documents, screenshots, etc. Or refer to the evidences already available to Cachet

confirmation

I confirm that the data submitted by me is correct and I have all the rights to forward such data. Everything I have submitted is true and in accordance with the applicable legal acts.

privacy_consent

By submitting this form, you confirm that you have read and understand Cachet’s Privacy Policy.

newsletter_consent

Please send me updates about Cachet products & services (You can unsubscribe at any time using the link located at the bottom of Cachet emails.).

KONTAKTINĖ FORMA

Susisiekite su mumis ir mes su jumis susisieksime per 24 valandas.

first_name

last_name

Verslo tipas*

Business_type

Privatus Verslas

Draudimo rūšis*

Coverage_type_a

Automobilio draudimas Dviračio draudimas

Coverage_type_b

Automobiliai Mikromobilumas Platforminis darbuotojas

phone_number

newsletter_consent

Siųskite man naujienas apie "Cachet" produktus ir paslaugas (bet kada galite atsisakyti prenumeratos naudodami nuorodą, esančią "Cachet" el. laiškų apačioje.).

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COMPLAINTS FORM

Customer or company*

Representative customer or company

Customer type*

Personal ID code / Registry code

Phone

Type of complaint*

Email*

Date of Incident*

Description of Issue*

Circumstances of incident

Evidence

Confirmation*

KONTAKTINĖ FORMA