Complaint Form

Online complaint form

Order number *

Product number, if applicable

Product name *

Complaint quantity

Date when the problem was noticed *

Complaint type *

Requested resolution *

Description of the problem *

Please describe what happened, when the problem was noticed, and how the product was used or checked.

Was the product installed, connected or used? *

Installed by professional workshop?

Installation / use details

Make

Model

Year

Engine / version

VIN / serial number

Mileage / operating hours at installation

Mileage / operating hours at removal

Installation date

Removal date

First name and surname / company name *

E-mail address *

Telephone number

Customer address

Additional message

You can upload up to 3 files. Allowed formats: JPG, PNG, WEBP or PDF. Maximum size: 5 MB per file.

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I confirm that the information provided in this complaint form is true and complete to the best of my knowledge.