Claim form EN Izopanel complaint form. HomepageClaim form EN Please give your consent to the processing of your personal data before completing the claim form.Confirmation of the use of the data, including personal data, provided in the application *I consent to the processing of my personal data for the purpose of responding to the application form.Links to the aforementioned rules: www.izopanel.plPERSONAL DATAName of applicant *Company name *Contact e-mail *Contact telephone *NIP *PRODUCT INFORMATIONSelect product *IzoWall PIR-N/PIR-FIzoGold PIR-N/PIR-FIzoCold PIR-N/PIR-FIzowall MWF L/CIzoGold MWF L/CIzoWall EPSIzoRoof PIR-N/PIR-FIzoRoof EPSIzoRoof MWFAccessoriesColour *RAL 1015RAL 7035RAL 9002RAL 9010RAL 1002RAL 6011RAL 7040RAL 7047RAL 9006RAL 3000RAL 3011RAL 5010RAL 8004RAL 9007RAL 6005RAL 7016RAL 7024RAL 9017INOX 1.43Date of purchase of the goods *Date of delivery of the goods *Invoice numberIf you wish to make a complaint about another invoice, please send another form.Order number in IZOPANEL *Scan of an invoiceDrag and Drop (or) Choose FilesThe attachment size limit is 6MB. Acceptable formats are images and pdf files.Incompatibility *Non-compliance with the orderA qualitative problemQuantitative problemService problemDelivery defectOtherDetailed description of the defect *Quantity (m2 )specify quantityAttach photos of the defect being reportedDrag and Drop (or) Choose FilesThe size limit for attachments is 6MB. Acceptable formats include images, pdf files and archives.Submitted by *ContractorInvestorDistributorClaim *ExchangeRepairDiscountLOCATION OF THE INVESTMENTStreet *Town *State/province *Postcode *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People’s Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweSend formPlease do not fill in this field.