Notice: Undefined offset: 1 in /var/www/html/templates/smarttax_no_flash_1/library/Artx/Content/SingleArticle.php on line 95
Standard claim form:
To: Estira Ltd with UIC 205864538
I hereby inform you that I have found a mismatch of the product (s) / service (s) with the contract.
Claim subject:
…………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………..
Ordered on / received on - ………………………………… order number……………..…………….………
Preferred way of satisfaction (tick the desired option):
- Refund
- Replacing the product with another one that is agreed upon
- Price drop
- Free repairs according to Art. 113 and 114 of the Consumer Protection Act
I am attaching the following documents (tick the desired option):
- cash receipt or invoice;
- protocols, acts or other documents establishing the non-conformity of the good or service with the contract;
- other documents establishing the claim by reason and size.
Amount claimed: ……………………………….……………….…….…………………………………..……………
Username (s): ………………………………………………………….……………………………………………….
User Address (s): ………………………………………………………………………………………………………
User's signature (paper submission only): ……………………………………………………...........……………
Date: …………………………………