Virtual Claim Book Consumer complainantPlease, enter your personal information in order to be able to attend your claim.First and Last NameYour full name. Example: "Juan José Pérez Quispe".Identity CardTelephoneYour telephone number in order to communicate the answer to your complaint. Example: "987654321".E-mail addressAddressCityProvinceCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaEelAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaIvory CoastCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceMetropolitan FranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadalupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston AtollJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauricioMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueBurmaNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSt. Kitts and NevisSt. LuciaSaint Vincent and the GrenadinesSamoaSanta Elena IslandSt. Pierre and MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSt. MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUnited States Virgin IslandsWallis and Futuna Islands Western SaharaYemenZambiaZimbabweContracted ServicePlease enter the details of the product or service you wish to complain about.Service or ProductDate of ServiceDescriptionHelp us identify the product or service you wish to complain about.Claim and orderPlease tell us about your claim and what you expect as a solution.Type of ClaimClaimComplaintChoose "Claim" if the dissatisfaction is with the product or service. Choose "Complaint" if the dissatisfaction is with the service, or other aspects not related to the product or service.What is your claim?Please detail the reason for your complaint.Upload your fileChoose fileNo file selectedDelete the uploaded fileWhat is your request?Tell us what you expect as a solution to your claim.By submitting this complaint, you agree and expressly consent that your personal data will be processed to handle your complaint, in accordance with our privacy policies and applicable Peruvian laws, including Law No. 29733. We are committed to treat this data with the utmost confidentiality and security. For more information, please see our privacy policy and our terms and conditions. *I have read and agree to the processing of my personal data as described.Section of the formSend Claim
