COMPLAINT FORM AQZ - 30 PAWBOL Spółka z o.o. Edition 4 Valid

COMPLAINT FORM
PAWBOL Spółka z o.o.
AQZ - 30
Edition 4
Valid from: 11.09.2014
Name of issuing the notification:
COMPLAINT FORM
number ______
Company name/stamp:
Date:
Address:
Lp.
1
2
Name of goods (code, part
Quantity
number)
The claimed defect item or element
- faults / defects / problem DESCRIPTION
Invoice
number:
Date of
invoice:
Invoice
number:
Date of
invoice:
Signature of claimant:
Telephone number of claimant:
Repair:
The method
of
investigating Exchange for
the complaint new
by Pawbol Credit note
Invoice number:
Other :
Date, name and signature of
examining the complaint:
Place and
date:
RECEIPT OF GOODS AFTER CLAIM REALIZATION
Name and signature of
receiving person :