First Name(s)
First Last Name
Second Last Name
Document Type--Select an option--IDForeigner IDOther
Document Number
Phone Number
Department
Province
District
Address
Reference
Email Address
Are you a minor?
Type of Claim--Select an option--Claim (1)Complaint (2)
Type of Consumption--Select an option--ProductService
Order Number
Date of Claim / Complaint
Supplier
Claimed Amount
Description of the Product or Service
Purchase Date
Consumption Date
Expiration Date
Details of the Claim / Complaint, as stated by the consumer
Consumer Request
(1) Claim: Nonconformity related to products or services.
(2) Complaint: Nonconformity not related to products or services; or discomfort or dissatisfaction regarding customer service.
I acknowledge that submitting this claim does not prevent me from seeking other dispute resolution methods nor is it a prerequisite to filing a complaint with INDECOPI. * The supplier must respond to the claim within a maximum period of fifteen (15) calendar days.
I accept the Privacy Policy.
I accept the Terms and Conditions.
