COMPLAINTS BOOK

Date: 01-05-2026

1.- IDENTIFICATION OF THE CLAIMING CONSUMER

First Name:

Last Name:

Phone:

Email:

State/Department:

Province:

District:

Address:

Document Type:

Document Number:

Minor: Name of father or mother:

2.- IDENTIFICATION OF THE CONTRACTED GOOD

Product Service

Date of incident:

Claimed amount:

Description:

3.- DETAILS OF THE CLAIM AND CONSUMER REQUEST

Claim: Expression of consumer dissatisfaction regarding the goods or services provided.

Complaint: Dissatisfaction not related to goods or services. It may express discomfort regarding customer service.

Detail:

Request:

4.- OBSERVATIONS AND ACTIONS TAKEN BY THE PROVIDER

The provider must respond to the claim within a period not exceeding thirty (30) calendar days, being able to extend the period for up to thirty (30) more days, after communication to the consumer.