Product Name / Model: ………………………………………………………. Quantity Purchased: …………………………………………………….. Gross Purchase Price (incl. VAT): …………………………………… Date of Purchase: ……………………………………………………….. Date of Delivery: ……………………………………………………….. Invoice / Receipt Number (if applicable): ………………………… Delivery Address (if different): ………………………………………
3. Description of the Complaint
Detailed Description of the Product and Defect: Please explain in detail the nature of the defect or non-conformity, when and under what circumstances it was discovered. If applicable, attach photographic documentation.
Please tick one of the following options in accordance with your consumer rights (Directive (EU) 2019/771 and Polish Civil Code, Article 556 et seq.):
☐ Replace the defective product with a new, defect-free item ☐ Repair the defect at no additional cost ☐ Partial refund (price reduction) ☐ Full refund and withdrawal from the contract
I declare that the information provided above is accurate to the best of my knowledge and that I am submitting this complaint in accordance with the applicable statutory warranty and consumer protection laws. I understand that the seller has 14 days from the date of receipt of this complaint to provide a written response.
………………………………………………. Date and Signature (only required if submitted in paper form)
📌 Notes for Customers:
Please ensure that all mandatory fields are filled out legibly.
If submitting the form electronically, no signature is required.
You may be requested to provide photographs or return the product for assessment.
Complaints are handled in accordance with the statutory 12-month seller warranty, unless a longer period is explicitly stated for the product.
Shipping costs for returns related to accepted complaints are covered by the Store.
