IQOS Complaint Form

Making a complaint

Contact Information

IQOS STORE
28. října 88
284 03 Kutná Hora
Czech Republic
ICO: 148 03 534, DIČ: CZ 148 03 534

Customer Details

IQOS Components Affected by Complaint

(Please mark the component type)

IQOS Device Model

IQOS 2.4+

IQOS 3/3 DUO/3 MULTI

IQOS ILUMA

LIL SOLID

IQOS VEEV/VEEV NOW

Specific Component

HolderSerial Number:

Pocket ChargerSerial Number:

IQOS VEEV/VEEV ONE DEVICESerial Number:

OtherSerial Number:

Type of Defect

(Please mark the type of defect with an X)

Material defect

Faulty LED light

Device does not charge correctly

Other (please fill in):

Complaint Resolution

In accordance with sections 2165 and 2169 par. 1 of Act No. 89/2012 Coll., the Civil Code, I hereby request that you resolve my complaint in one of the ways described below without undue delay, no later than within 30 days from receipt of complaint.

I wish to exercise my right to resolve the complaint in the following way:

Repair

Replace defective components of IQOS

Other (please fill in):

Signatures and Attachments

Date and Customer Signature:

Attachments

(I attach to my complaint)

Copy of tax document
Claimed goods

Complaint Report (Service Part)

(Filled in by vendor or authorised person if complaint is made in person)

Vendor's Statement

(Contains date and comments regarding customer's complaint)

By signing below I confirm receipt of the complaint on the date stated below.

Date and Signature of Vendor or Authorised Person:

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