Complaints report (Must be completed by the retailer) Date of complaint * Contact information retailer Name * Address * Postal code * City * Phone * Contact person * Email * Contact information consumer Name * Address * Postal code * City * Phone Product information Witt order number * Delivery date * Type Fridge/freeze Wash Dry Dishwasher Cooker Oven Hob Hood Other (If you selected "Other" please specify) Model number Serial no Own service no Latent defect – was the packaging intact? Yes No Image documentation Image documentation of product defect and packaging MUST be enclosed Product defect description * Completed by * Please wait!
