Complaint form

Complaint form

Order number:

(Visible in the email confirming the order)

Name of the returned part:

(full name of the returned part)

Date:

(date of assembly of parts on the car)

(date of dismantling parts from the car)

Mileage:

(mileage during assembly of parts on the car)

(mileage during disassembly of parts from the car)

Who assembled the part: User

Workshop

(full name of the workshop)

Who found the fault: User

Workshop

When the fault was found: While driving

Before assembly

During assembly

After the collision

The reason for the complaint (exact description of the fault, possibly the results of the tests, the opinion of the workshop):

Who dismantled the part: User

Workshop

E-mail:

Product Image

* Please enter the characters in the grey box.