Consumer Complaint Form November 5, 2018by LTPA Complaint Form Personal details: Name & Surname Address E-mail Telephone number Information about Company and product: Company name & address Product Order number Distributor‘s ID number (if known) Incident details: The date and details of the incident List the amount and cost of product, if relevant, include invoices or other supporting documents Have you tried to resolve the matter with the distributor or company? Any responses the other parties have made regarding the matter I agree that provided personal data will be processed by LTPA in order to respond to this complaint. For more information how personal data are processed see Privacy Policy.