Claim Record / Complaint

according to IS 13-2 KOPOS KOLÍN a.s.

Company Name (Order Party / Customer):    
Company Representative (reclaiming):
Date of Claim: 24.2.2018
No. of Delivery Note:   (e.g. PDL12345)

Responsible person at KOPOS KOLÍN a.s.: Jiřina Hodanová,

Description of Complaint (label at product packing, description of dissonance):

Max. size of enclosure: 2,5 M byte

File into the enclosure:  

Bold items have to be completely filled in.                                                                            

© 2018 KOPOS KOLÍN a.s., Jan Vrzáček