Formulare test 2 EN

If you are interested in filing a motion to initiate out-of-court dispute resolution (ADR), please fill in the web form and attach relevant documents, in particular proof of your unsuccessful attempt to resolve the dispute with the entrepreneur, a copy of the contract or proof of purchase, a copy of mutual correspondence, copies of complaint reports, etc.

Po úspěšném vyplnění a odeslání formuláře bude vygenerováno a na Vaši e-mailovou adresu zasláno potvrzení o úspěšném podání návrhu. Toto potvrzení prosím vlastnoručně podepište a nejpozději do 10 dnů je zašlete poštou na adresu uvedenou níže.

V případě, že máte zřízen uznávaný elektronický podpis, zašlete prosím potvrzení o podání návrhu na e-mailovou adresu oddělení mimosoudního řešení sporů s Vaším elektronickým podpisem.

Pokud máte zřízenu datovou schránku, potvrzení o podání návrhu, které obdržíte e-mailem, můžete zaslat do datové schránky České obchodní inspekce.

V případě zastoupení navrhovatele zmocněncem je nutné doložit písemnou plnou moc.

Consumer details

Name: *

Surname: *

Street: *

Street number: *

Orientation number:

ZIP: *

City: *

Country:

Email: *

Phone:

Data box ID:

Consumer has representative

Consumer representative details

Representative type: *

Name: *

Title: *

Surname: *

Street: *

Street number: *

Orientation number:

Street: *

Street number: *

Orientation number:

ZIP: *

City:

Country:

Email:

Phone:

Data box ID:

Trader details

Country:

Trader type:

Trader name: *

Trader surname: *

Company registration number:

For Czech traders you can use ARES for automatically filling the data

Company name:

Street: *

Street number: *

Orientation number:

ZIP:

City:

Email:

Phone:

Data box ID:

Complaint

Problem category:

Specify problem category

Specify problem category:

Selling method:

Nature of complaint:

Proposed solution:

Brief case description:

It is necessary to try to resolve the dispute with the trader first.

Have you contacted the trader concerning the problem? *YesNo

When did you contact the trader? *

I declare that that no court judgement or an arbitration decision have been issued in this dispute, that no agreement in an out of court resolution scheme has been concluded in this dispute, and that the dispute is not subject to any ongoing court proceedings, arbitration or an out of court resolution procedure other than the one initiated by this petition.

Document of attempt to solve the problem with the trader: *

Není zvolený žádný soubor

A suitable attachment is, in particular, a purchase or other contract evidencing the establishment of a contractual relationship, communication with the seller or other relevant documentation to describe the subject of the dispute

Maximum size of all attachments is 10 MB, valid file types are - pdf, jpg, jpeg, png, doc, docx, xls, xlsx, ppt, pptx, odt.

This out of court dispute resolution procedure is subject to the relevant provisions of the Consumer Protection Act and Procedural Rules established by the Czech Trade Inspection Authority.

In case of technical problems, it is possible to use the form in PDF format and send it signed by post, email with a guaranteed electronic signature or via a data box. Form in formatPDF