SUBMIT A PROPOSAL - Poisťovací ombudsman

Multipage form

Consumer data
Information about the insurance company
Time data
Description of decisive facts
Other proceedings
Indication of what the consumer is seeking in the proposal
Attachments
Consent
Summary

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How do you want to file a complaint?

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I submit the proposal anonymously

An anonymous proposal to start a consumer dispute will be rejected under Section 13, para. 1, letter (d) of Act No. 391/2015 Coll. on alternative resolution of consumer disputes, as amended.

Consumer data

Name and surname

Meno

Priezvisko

Address of permanent residence:

Street and house number

Zip code

City

The address where I receive mail is different from my permanent residence.

Mailing address:

Street and house number

Zip code

City

Email address

Telephone no.

Email address

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