Data of the complainant: (*) All data are mandatory

    Nome:

    Cognome:

    Business name:(If it is not a natural person)

    Indirizzo:

    CAP:

    Città:

    Paese:

    Email:

    Telefono:


    User's Data (if different from the person submitting the complaint) and any other passengers

    Nome Cognome Utente 1:

    Nome Cognome Utente 2:

    Nome Cognome Utente 3:

    NomeU4 Cognome Utente 4:


    Trip details

    Travel agent / tour operator / ticket seller (if relevant):

    Booking code / ticket number:

    Departure station / stop:

    Arrival station / stop:

    Scheduled Date and Time:

    Effective Date and Time(where it does not coincide with the scheduled time):

    Line (if rivelant):


    Reasons for the complaint for regular services of a distance equal to or greater than 250 km. Please indicate a sign of
    tick next to the relevant items (*)

    Other:

    Select how you want to receive compensation / refund if due:


    Reasons for the complaint for regular services of a distance of less than 250 km. Please indicate a check mark
    next to the relevant items (*)

    Other:

    Select how you want to receive compensation / refund if due:

    Description. Please describe the incident with regard to all the items for which the check mark has been indicated

    Attach documents eg. Proxy and user identity document (in the event that the complaint is presented by a person other than the user)
    Altri allegati: