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Pełnomocnictwa

Pełnomocnictwa

COMPLAINTS FORM

Get in touch with us and we will get back to you within 2 business days.

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

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

Email*
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*

FORMULARZ KONTAKTOWY

Napisz do nas, a my skontaktujemy się z Tobą w ciągu 24 godzin.

Rodzaj klienta

Typ ubezpieczenia

Dziękujemy za przesłanie prośby o otrzymanie oferty.

Nasz zespół wkrótce się z Tobą skontaktuje.