In order to ensure fast claim settlement, please fill out the form below for each product separately which then will be forwarded to our service.

Client’s tax number*

Name and surname of the person issuing THE claim*

TAX number/provider’s name*

contact phone number*

purchase Invoice number*

contact e-mail address*

purchase invoice date*


name of the product on the invoice*

serial number*

send back the product to the company’s registered office address?*

Address *


I hereby declare that I have read and understood the “Komputronik Biznes Claim Conditions” and “Komputronik Biznes Quality Assurance” and that I agree to their terms.*

I declare that I have read and accept the principles of data processing *