JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Libro de reclamaciones
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nombre y Apellidos
*
Your answer
Correo electrónico
*
Your answer
Celular
*
Your answer
DNI
*
Your answer
Dirección
*
Your answer
Identificación del contratado
*
Producto
Servicio
Otros
Fecha de compra
*
MM
/
DD
/
YYYY
Monto (en caso lo requiera)
*
Your answer
Descripción
*
Your answer
Detalle del reclamo
*
Reclamo: Disconformidad en relación al producto o servicio.
Queja: Disconformidad NO relacionada con el producto o servicio.
Detalle
*
Your answer
Pedido del cliente
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report