{"id":16133,"date":"2026-02-13T15:16:01","date_gmt":"2026-02-13T15:16:01","guid":{"rendered":"https:\/\/dermaprexmagistral.com\/?page_id=16133"},"modified":"2026-02-13T16:13:27","modified_gmt":"2026-02-13T16:13:27","slug":"libro-de-reclamacion","status":"publish","type":"page","link":"https:\/\/dermaprexmagistral.com\/en\/libro-de-reclamacion\/","title":{"rendered":"Libro de Reclamaci\u00f3n"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"16133\" class=\"elementor elementor-16133\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-10dd8dcb e-flex e-con-boxed e-con e-parent\" data-id=\"10dd8dcb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-100608a6 elementor-widget elementor-widget-shortcode\" data-id=\"100608a6\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-16136 forminator-design--flat  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-16136\" data-uid=\"6a80802ef1f4e\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-16136\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-16136 forminator-design--flat  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"16136\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"flat\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a80802ef1f4e\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><label class=\"forminator-label\">I. IDENTIFICACI\u00d3N DEL CONSUMIDOR RECLAMANTE<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a80802ef1f4e\" id=\"forminator-field-name-1_6a80802ef1f4e-label\" class=\"forminator-label\">Nombre<\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Nombre\" id=\"forminator-field-name-1_6a80802ef1f4e\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6a80802ef1f4e\" id=\"forminator-field-name-2_6a80802ef1f4e-label\" class=\"forminator-label\">Primer Apellido<\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"Primer Apellido\" id=\"forminator-field-name-2_6a80802ef1f4e\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6a80802ef1f4e\" id=\"forminator-field-name-3_6a80802ef1f4e-label\" class=\"forminator-label\">Segundo Apellido<\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"Segundo Apellido\" id=\"forminator-field-name-3_6a80802ef1f4e\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-form-16136__field--select-1_6a80802ef1f4e\" id=\"forminator-form-16136__field--select-1_6a80802ef1f4e-label\" class=\"forminator-label\">Selecci\u00f3n de documentaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-16136__field--select-1_6a80802ef1f4e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Tipo de Documentaci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Tipo de Documentaci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-16136__field--select-1_6a80802ef1f4e-label\"><option value=\"\"  >Tipo de Documentaci\u00f3n<\/option><option value=\"one\"  data-calculation=\"0\">DNI<\/option><option value=\"two\"  data-calculation=\"0\">PASAPORTE<\/option><option value=\"CE\"  data-calculation=\"0\">CE<\/option><option value=\"RUC\"  data-calculation=\"0\">RUC<\/option><\/select><\/div><\/div><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_6a80802ef1f4e\" id=\"forminator-field-name-4_6a80802ef1f4e-label\" class=\"forminator-label\">N\u00famero de documentaci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"Ingrese Nro. Documentaci\u00f3n\" id=\"forminator-field-name-4_6a80802ef1f4e\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a80802ef1f4e\" id=\"forminator-field-phone-1_6a80802ef1f4e-label\" class=\"forminator-label\">Celular \/ Tel\u00e9fono <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6a80802ef1f4e\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"pe\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-form-16136__field--select-2_6a80802ef1f4e\" id=\"forminator-form-16136__field--select-2_6a80802ef1f4e-label\" class=\"forminator-label\">Departamento <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-16136__field--select-2_6a80802ef1f4e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccionar Departamento\" data-search=\"false\" data-search-placeholder=\"Seleccionar Departamento\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-16136__field--select-2_6a80802ef1f4e-label\"><option value=\"\"  >Seleccionar Departamento<\/option><option value=\"Amazonas\"  data-calculation=\"0\">Amazonas<\/option><option value=\"\u00c1ncash\"  data-calculation=\"0\">\u00c1ncash<\/option><option value=\"Apur\u00edmac\"  data-calculation=\"0\">Apur\u00edmac<\/option><option value=\"Arequipa\"  data-calculation=\"0\">Arequipa<\/option><option value=\"Ayacucho\"  data-calculation=\"0\">Ayacucho<\/option><option value=\"Cajamarca\"  data-calculation=\"0\">Cajamarca<\/option><option value=\"Callao (Provincia Constitucional)\"  data-calculation=\"0\">Callao (Provincia Constitucional)<\/option><option value=\"Cusco\"  data-calculation=\"0\">Cusco<\/option><option value=\"Huancavelica\"  data-calculation=\"0\">Huancavelica<\/option><option value=\"Hu\u00e1nuco\"  data-calculation=\"0\">Hu\u00e1nuco<\/option><option value=\"Ica\"  data-calculation=\"0\">Ica<\/option><option value=\"Jun\u00edn\"  data-calculation=\"0\">Jun\u00edn<\/option><option value=\"La Libertad\"  data-calculation=\"0\">La Libertad<\/option><option value=\"Lambayeque\"  data-calculation=\"0\">Lambayeque<\/option><option value=\"Lima Metropolitana\"  data-calculation=\"0\">Lima Metropolitana<\/option><option value=\"Loreto\"  data-calculation=\"0\">Loreto<\/option><option value=\"Madre de Dios\"  data-calculation=\"0\">Madre de Dios<\/option><option value=\"Moquegua\"  data-calculation=\"0\">Moquegua<\/option><option value=\"Pasco\"  data-calculation=\"0\">Pasco<\/option><option value=\"Piura\"  data-calculation=\"0\">Piura<\/option><option value=\"Puno\"  data-calculation=\"0\">Puno<\/option><option value=\"San Mart\u00edn\"  data-calculation=\"0\">San Mart\u00edn<\/option><option value=\"Tacna\"  data-calculation=\"0\">Tacna<\/option><option value=\"Tumbes\"  data-calculation=\"0\">Tumbes<\/option><option value=\"Ucayali\"  data-calculation=\"0\">Ucayali<\/option><\/select><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-form-16136__field--select-3_6a80802ef1f4e\" id=\"forminator-form-16136__field--select-3_6a80802ef1f4e-label\" class=\"forminator-label\">Provincias <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-16136__field--select-3_6a80802ef1f4e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccionar Provincia\" data-search=\"false\" data-search-placeholder=\"Seleccionar Provincia\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-16136__field--select-3_6a80802ef1f4e-label\"><option value=\"\"  >Seleccionar Provincia<\/option><option value=\"**Amazonas**\"  data-calculation=\"0\">**Amazonas**<\/option><option value=\"1. Chachapoyas\"  data-calculation=\"0\">1. Chachapoyas<\/option><option value=\"2. Bagua\"  data-calculation=\"0\">2. Bagua<\/option><option value=\"3. Bongar\u00e1\"  data-calculation=\"0\">3. Bongar\u00e1<\/option><option value=\"4. Condorcanqui\"  data-calculation=\"0\">4. Condorcanqui<\/option><option value=\"5. Luya\"  data-calculation=\"0\">5. Luya<\/option><option value=\"6. Rodr\u00edguez de Mendoza\"  data-calculation=\"0\">6. Rodr\u00edguez de Mendoza<\/option><option value=\"7. Utcubamba\"  data-calculation=\"0\">7. Utcubamba<\/option><option value=\"**\u00c1ncash**\"  data-calculation=\"0\">**\u00c1ncash**<\/option><option value=\"8. Aija\"  data-calculation=\"0\">8. Aija<\/option><option value=\"9. Antonio Raimondi\"  data-calculation=\"0\">9. Antonio Raimondi<\/option><option value=\"10. Asunci\u00f3n\"  data-calculation=\"0\">10. Asunci\u00f3n<\/option><option value=\"11. Bolognesi\"  data-calculation=\"0\">11. Bolognesi<\/option><option value=\"12. Carhuaz\"  data-calculation=\"0\">12. Carhuaz<\/option><option value=\"13. Carlos Ferm\u00edn Fitzcarrald\"  data-calculation=\"0\">13. Carlos Ferm\u00edn Fitzcarrald<\/option><option value=\"14. Casma\"  data-calculation=\"0\">14. Casma<\/option><option value=\"15. Corongo\"  data-calculation=\"0\">15. Corongo<\/option><option value=\"16. Huaraz\"  data-calculation=\"0\">16. Huaraz<\/option><option value=\"17. Huari\"  data-calculation=\"0\">17. Huari<\/option><option value=\"18. Huarmey\"  data-calculation=\"0\">18. Huarmey<\/option><option value=\"19. Huaylas\"  data-calculation=\"0\">19. Huaylas<\/option><option value=\"20. Mariscal Luzuriaga\"  data-calculation=\"0\">20. Mariscal Luzuriaga<\/option><option value=\"21. Ocros\"  data-calculation=\"0\">21. Ocros<\/option><option value=\"22. Pallasca\"  data-calculation=\"0\">22. Pallasca<\/option><option value=\"23. Pomabamba\"  data-calculation=\"0\">23. Pomabamba<\/option><option value=\"24. Recuay\"  data-calculation=\"0\">24. Recuay<\/option><option value=\"25. Santa\"  data-calculation=\"0\">25. Santa<\/option><option value=\"26. Sihuas\"  data-calculation=\"0\">26. Sihuas<\/option><option value=\"27. Yungay\"  data-calculation=\"0\">27. Yungay<\/option><option value=\"**Apur\u00edmac**\"  data-calculation=\"0\">**Apur\u00edmac**<\/option><option value=\"28. Abancay\"  data-calculation=\"0\">28. Abancay<\/option><option value=\"29. Andahuaylas\"  data-calculation=\"0\">29. Andahuaylas<\/option><option value=\"30. Antabamba\"  data-calculation=\"0\">30. Antabamba<\/option><option value=\"31. Aymaraes\"  data-calculation=\"0\">31. Aymaraes<\/option><option value=\"32. Chincheros\"  data-calculation=\"0\">32. Chincheros<\/option><option value=\"33. Cotabambas\"  data-calculation=\"0\">33. Cotabambas<\/option><option value=\"34. Grau\"  data-calculation=\"0\">34. Grau<\/option><option value=\"**Arequipa**\"  data-calculation=\"0\">**Arequipa**<\/option><option value=\"35. Arequipa\"  data-calculation=\"0\">35. Arequipa<\/option><option value=\"36. Caman\u00e1\"  data-calculation=\"0\">36. Caman\u00e1<\/option><option value=\"37. Caravel\u00ed\"  data-calculation=\"0\">37. Caravel\u00ed<\/option><option value=\"38. Castilla\"  data-calculation=\"0\">38. Castilla<\/option><option value=\"39. Caylloma\"  data-calculation=\"0\">39. Caylloma<\/option><option value=\"40. Condesuyos\"  data-calculation=\"0\">40. Condesuyos<\/option><option value=\"41. Islay\"  data-calculation=\"0\">41. Islay<\/option><option value=\"42. La Uni\u00f3n\"  data-calculation=\"0\">42. La Uni\u00f3n<\/option><option value=\"**Ayacucho**\"  data-calculation=\"0\">**Ayacucho**<\/option><option value=\"43. Cangallo\"  data-calculation=\"0\">43. Cangallo<\/option><option value=\"44. Huamanga\"  data-calculation=\"0\">44. Huamanga<\/option><option value=\"45. Huanca Sancos\"  data-calculation=\"0\">45. Huanca Sancos<\/option><option value=\"46. Huanta\"  data-calculation=\"0\">46. Huanta<\/option><option value=\"47. La Mar\"  data-calculation=\"0\">47. La Mar<\/option><option value=\"48. Lucanas\"  data-calculation=\"0\">48. Lucanas<\/option><option value=\"49. Parinacochas\"  data-calculation=\"0\">49. Parinacochas<\/option><option value=\"50. Pa\u00facar del Sara Sara\"  data-calculation=\"0\">50. Pa\u00facar del Sara Sara<\/option><option value=\"51. Sucre\"  data-calculation=\"0\">51. Sucre<\/option><option value=\"52. V\u00edctor Fajardo\"  data-calculation=\"0\">52. V\u00edctor Fajardo<\/option><option value=\"53. Vilcas Huam\u00e1n\"  data-calculation=\"0\">53. Vilcas Huam\u00e1n<\/option><option value=\"**Cajamarca**\"  data-calculation=\"0\">**Cajamarca**<\/option><option value=\"54. Cajabamba\"  data-calculation=\"0\">54. Cajabamba<\/option><option value=\"55. Cajamarca\"  data-calculation=\"0\">55. Cajamarca<\/option><option value=\"56. Celend\u00edn\"  data-calculation=\"0\">56. Celend\u00edn<\/option><option value=\"57. Chota\"  data-calculation=\"0\">57. Chota<\/option><option value=\"58. Contumaz\u00e1\"  data-calculation=\"0\">58. Contumaz\u00e1<\/option><option value=\"59. Cutervo\"  data-calculation=\"0\">59. Cutervo<\/option><option value=\"60. Hualgayoc\"  data-calculation=\"0\">60. Hualgayoc<\/option><option value=\"61. Ja\u00e9n\"  data-calculation=\"0\">61. Ja\u00e9n<\/option><option value=\"62. San Ignacio\"  data-calculation=\"0\">62. San Ignacio<\/option><option value=\"63. San Marcos\"  data-calculation=\"0\">63. San Marcos<\/option><option value=\"64. San Miguel\"  data-calculation=\"0\">64. San Miguel<\/option><option value=\"65. San Pablo\"  data-calculation=\"0\">65. San Pablo<\/option><option value=\"66. Santa Cruz\"  data-calculation=\"0\">66. Santa Cruz<\/option><option value=\"**Callao**\"  data-calculation=\"0\">**Callao**<\/option><option value=\"67. Callao (Provincia Constitucional)\"  data-calculation=\"0\">67. Callao (Provincia Constitucional)<\/option><option value=\"### **Cusco**\"  data-calculation=\"0\">### **Cusco**<\/option><option value=\"68. Acomayo\"  data-calculation=\"0\">68. Acomayo<\/option><option value=\"69. Anta\"  data-calculation=\"0\">69. Anta<\/option><option value=\"70. Calca\"  data-calculation=\"0\">70. Calca<\/option><option value=\"71. Canas\"  data-calculation=\"0\">71. Canas<\/option><option value=\"72. Canchis\"  data-calculation=\"0\">72. Canchis<\/option><option value=\"73. Chumbivilcas\"  data-calculation=\"0\">73. Chumbivilcas<\/option><option value=\"74. Cusco\"  data-calculation=\"0\">74. Cusco<\/option><option value=\"75. Espinar\"  data-calculation=\"0\">75. Espinar<\/option><option value=\"76. La Convenci\u00f3n\"  data-calculation=\"0\">76. La Convenci\u00f3n<\/option><option value=\"77. Paruro\"  data-calculation=\"0\">77. Paruro<\/option><option value=\"78. Paucartambo\"  data-calculation=\"0\">78. Paucartambo<\/option><option value=\"79. Quispicanchi\"  data-calculation=\"0\">79. Quispicanchi<\/option><option value=\"80. Urubamba\"  data-calculation=\"0\">80. Urubamba<\/option><option value=\"**Huancavelica**\"  data-calculation=\"0\">**Huancavelica**<\/option><option value=\"81. Acobamba\"  data-calculation=\"0\">81. Acobamba<\/option><option value=\"82. Angaraes\"  data-calculation=\"0\">82. Angaraes<\/option><option value=\"83. Castrovirreyna\"  data-calculation=\"0\">83. Castrovirreyna<\/option><option value=\"84. Churcampa\"  data-calculation=\"0\">84. Churcampa<\/option><option value=\"85. Huancavelica\"  data-calculation=\"0\">85. Huancavelica<\/option><option value=\"86. Huaytar\u00e1\"  data-calculation=\"0\">86. Huaytar\u00e1<\/option><option value=\"87. Tayacaja\"  data-calculation=\"0\">87. Tayacaja<\/option><option value=\"*Hu\u00e1nuco**\"  data-calculation=\"0\">*Hu\u00e1nuco**<\/option><option value=\"88. Ambo\"  data-calculation=\"0\">88. Ambo<\/option><option value=\"89. Dos de Mayo\"  data-calculation=\"0\">89. Dos de Mayo<\/option><option value=\"90. Huacaybamba\"  data-calculation=\"0\">90. Huacaybamba<\/option><option value=\"91. Huamal\u00edes\"  data-calculation=\"0\">91. Huamal\u00edes<\/option><option value=\"92. Hu\u00e1nuco\"  data-calculation=\"0\">92. Hu\u00e1nuco<\/option><option value=\"93. Lauricocha\"  data-calculation=\"0\">93. Lauricocha<\/option><option value=\"94. Leoncio Prado\"  data-calculation=\"0\">94. Leoncio Prado<\/option><option value=\"95. Mara\u00f1\u00f3n\"  data-calculation=\"0\">95. Mara\u00f1\u00f3n<\/option><option value=\"96. Pachitea\"  data-calculation=\"0\">96. Pachitea<\/option><option value=\"97. Puerto Inca\"  data-calculation=\"0\">97. Puerto Inca<\/option><option value=\"98. Yarowilca\"  data-calculation=\"0\">98. Yarowilca<\/option><option value=\"**Ica**\"  data-calculation=\"0\">**Ica**<\/option><option value=\"99. Chincha\"  data-calculation=\"0\">99. Chincha<\/option><option value=\"100. Ica\"  data-calculation=\"0\">100. Ica<\/option><option value=\"101. Nazca\"  data-calculation=\"0\">101. Nazca<\/option><option value=\"102. Palpa\"  data-calculation=\"0\">102. Palpa<\/option><option value=\"103. Pisco\"  data-calculation=\"0\">103. Pisco<\/option><option value=\"**Jun\u00edn**\"  data-calculation=\"0\">**Jun\u00edn**<\/option><option value=\"104. Chanchamayo\"  data-calculation=\"0\">104. Chanchamayo<\/option><option value=\"105. Chupaca\"  data-calculation=\"0\">105. Chupaca<\/option><option value=\"106. Concepci\u00f3n\"  data-calculation=\"0\">106. Concepci\u00f3n<\/option><option value=\"107. Huancayo\"  data-calculation=\"0\">107. Huancayo<\/option><option value=\"108. Jauja\"  data-calculation=\"0\">108. Jauja<\/option><option value=\"109. Jun\u00edn\"  data-calculation=\"0\">109. Jun\u00edn<\/option><option value=\"110. Satipo\"  data-calculation=\"0\">110. Satipo<\/option><option value=\"111. Tarma\"  data-calculation=\"0\">111. Tarma<\/option><option value=\"112. Yauli\"  data-calculation=\"0\">112. Yauli<\/option><option value=\"**La Libertad**\"  data-calculation=\"0\">**La Libertad**<\/option><option value=\"113. Ascope\"  data-calculation=\"0\">113. Ascope<\/option><option value=\"114. Bol\u00edvar\"  data-calculation=\"0\">114. Bol\u00edvar<\/option><option value=\"115. Chep\u00e9n\"  data-calculation=\"0\">115. Chep\u00e9n<\/option><option value=\"116. Gran Chim\u00fa\"  data-calculation=\"0\">116. Gran Chim\u00fa<\/option><option value=\"117. Julc\u00e1n\"  data-calculation=\"0\">117. Julc\u00e1n<\/option><option value=\"118. Otuzco\"  data-calculation=\"0\">118. Otuzco<\/option><option value=\"119. Pacasmayo\"  data-calculation=\"0\">119. Pacasmayo<\/option><option value=\"120. Pataz\"  data-calculation=\"0\">120. Pataz<\/option><option value=\"121. S\u00e1nchez Carri\u00f3n\"  data-calculation=\"0\">121. S\u00e1nchez Carri\u00f3n<\/option><option value=\"122. Santiago de Chuco\"  data-calculation=\"0\">122. Santiago de Chuco<\/option><option value=\"123. Trujillo\"  data-calculation=\"0\">123. Trujillo<\/option><option value=\"124. Vir\u00fa\"  data-calculation=\"0\">124. Vir\u00fa<\/option><option value=\"**Lambayeque**\"  data-calculation=\"0\">**Lambayeque**<\/option><option value=\"125. Chiclayo\"  data-calculation=\"0\">125. Chiclayo<\/option><option value=\"126. Ferre\u00f1afe\"  data-calculation=\"0\">126. Ferre\u00f1afe<\/option><option value=\"127. Lambayeque\"  data-calculation=\"0\">127. Lambayeque<\/option><option value=\"**Lima**\"  data-calculation=\"0\">**Lima**<\/option><option value=\"128. Barranca\"  data-calculation=\"0\">128. Barranca<\/option><option value=\"129. Cajatambo\"  data-calculation=\"0\">129. Cajatambo<\/option><option value=\"130. Ca\u00f1ete\"  data-calculation=\"0\">130. Ca\u00f1ete<\/option><option value=\"131. Canta\"  data-calculation=\"0\">131. Canta<\/option><option value=\"132. Huaral\"  data-calculation=\"0\">132. Huaral<\/option><option value=\"133. Huarochir\u00ed\"  data-calculation=\"0\">133. Huarochir\u00ed<\/option><option value=\"134. Huaura\"  data-calculation=\"0\">134. Huaura<\/option><option value=\"135. Oy\u00f3n\"  data-calculation=\"0\">135. Oy\u00f3n<\/option><option value=\"136. Yauyos\"  data-calculation=\"0\">136. Yauyos<\/option><option value=\"**Provincia de Lima**\"  data-calculation=\"0\">**Provincia de Lima**<\/option><option value=\"137. Lima (Metropolitana)\"  data-calculation=\"0\">137. Lima (Metropolitana)<\/option><option value=\"**Loreto**\"  data-calculation=\"0\">**Loreto**<\/option><option value=\"138. Alto Amazonas\"  data-calculation=\"0\">138. Alto Amazonas<\/option><option value=\"139. Datem del Mara\u00f1\u00f3n\"  data-calculation=\"0\">139. Datem del Mara\u00f1\u00f3n<\/option><option value=\"140. Loreto\"  data-calculation=\"0\">140. Loreto<\/option><option value=\"141. Mariscal Ram\u00f3n Castilla\"  data-calculation=\"0\">141. Mariscal Ram\u00f3n Castilla<\/option><option value=\"142. Maynas\"  data-calculation=\"0\">142. Maynas<\/option><option value=\"143. Putumayo\"  data-calculation=\"0\">143. Putumayo<\/option><option value=\"144. Requena\"  data-calculation=\"0\">144. Requena<\/option><option value=\"145. Ucayali\"  data-calculation=\"0\">145. Ucayali<\/option><option value=\"### **Madre de Dios**\"  data-calculation=\"0\">### **Madre de Dios**<\/option><option value=\"146. Manu\"  data-calculation=\"0\">146. Manu<\/option><option value=\"147. Tahuamanu\"  data-calculation=\"0\">147. Tahuamanu<\/option><option value=\"148. Tambopata\"  data-calculation=\"0\">148. Tambopata<\/option><option value=\"**Moquegua**\"  data-calculation=\"0\">**Moquegua**<\/option><option value=\"149. General S\u00e1nchez Cerro\"  data-calculation=\"0\">149. General S\u00e1nchez Cerro<\/option><option value=\"150. Ilo\"  data-calculation=\"0\">150. Ilo<\/option><option value=\"151. Mariscal Nieto\"  data-calculation=\"0\">151. Mariscal Nieto<\/option><option value=\"**Pasco**\"  data-calculation=\"0\">**Pasco**<\/option><option value=\"152. Daniel Alcides Carri\u00f3n\"  data-calculation=\"0\">152. Daniel Alcides Carri\u00f3n<\/option><option value=\"153. Oxapampa\"  data-calculation=\"0\">153. Oxapampa<\/option><option value=\"154. Pasco\"  data-calculation=\"0\">154. Pasco<\/option><option value=\"**Piura**\"  data-calculation=\"0\">**Piura**<\/option><option value=\"155. Ayabaca\"  data-calculation=\"0\">155. Ayabaca<\/option><option value=\"156. Huancabamba\"  data-calculation=\"0\">156. Huancabamba<\/option><option value=\"157. Morrop\u00f3n\"  data-calculation=\"0\">157. Morrop\u00f3n<\/option><option value=\"158. Paita\"  data-calculation=\"0\">158. Paita<\/option><option value=\"159. Piura\"  data-calculation=\"0\">159. Piura<\/option><option value=\"160. Sechura\"  data-calculation=\"0\">160. Sechura<\/option><option value=\"161. Sullana\"  data-calculation=\"0\">161. Sullana<\/option><option value=\"162. Talara\"  data-calculation=\"0\">162. Talara<\/option><option value=\"**Puno**\"  data-calculation=\"0\">**Puno**<\/option><option value=\"163. Az\u00e1ngaro\"  data-calculation=\"0\">163. Az\u00e1ngaro<\/option><option value=\"164. Carabaya\"  data-calculation=\"0\">164. Carabaya<\/option><option value=\"165. Chucuito\"  data-calculation=\"0\">165. Chucuito<\/option><option value=\"166. El Collao\"  data-calculation=\"0\">166. El Collao<\/option><option value=\"167. Huancan\u00e9\"  data-calculation=\"0\">167. Huancan\u00e9<\/option><option value=\"168. Lampa\"  data-calculation=\"0\">168. Lampa<\/option><option value=\"169. Melgar\"  data-calculation=\"0\">169. Melgar<\/option><option value=\"170. Moho\"  data-calculation=\"0\">170. Moho<\/option><option value=\"171. Puno\"  data-calculation=\"0\">171. Puno<\/option><option value=\"172. San Antonio de Putina\"  data-calculation=\"0\">172. San Antonio de Putina<\/option><option value=\"173. San Rom\u00e1n\"  data-calculation=\"0\">173. San Rom\u00e1n<\/option><option value=\"174. Sandia\"  data-calculation=\"0\">174. Sandia<\/option><option value=\"175. Yunguyo\"  data-calculation=\"0\">175. Yunguyo<\/option><option value=\"### **San Mart\u00edn**\"  data-calculation=\"0\">### **San Mart\u00edn**<\/option><option value=\"176. Bellavista\"  data-calculation=\"0\">176. Bellavista<\/option><option value=\"177. El Dorado\"  data-calculation=\"0\">177. El Dorado<\/option><option value=\"178. Huallaga\"  data-calculation=\"0\">178. Huallaga<\/option><option value=\"179. Lamas\"  data-calculation=\"0\">179. Lamas<\/option><option value=\"180. Mariscal C\u00e1ceres\"  data-calculation=\"0\">180. Mariscal C\u00e1ceres<\/option><option value=\"181. Moyobamba\"  data-calculation=\"0\">181. Moyobamba<\/option><option value=\"182. Picota\"  data-calculation=\"0\">182. Picota<\/option><option value=\"183. Rioja\"  data-calculation=\"0\">183. Rioja<\/option><option value=\"184. San Mart\u00edn\"  data-calculation=\"0\">184. San Mart\u00edn<\/option><option value=\"185. Tocache\"  data-calculation=\"0\">185. Tocache<\/option><option value=\"**Tacna**\"  data-calculation=\"0\">**Tacna**<\/option><option value=\"186. Candarave\"  data-calculation=\"0\">186. Candarave<\/option><option value=\"187. Jorge Basadre\"  data-calculation=\"0\">187. Jorge Basadre<\/option><option value=\"188. Tacna\"  data-calculation=\"0\">188. Tacna<\/option><option value=\"189. Tarata\"  data-calculation=\"0\">189. Tarata<\/option><option value=\"**Tumbes**\"  data-calculation=\"0\">**Tumbes**<\/option><option value=\"190. Contralmirante Villar\"  data-calculation=\"0\">190. Contralmirante Villar<\/option><option value=\"191. Tumbes\"  data-calculation=\"0\">191. Tumbes<\/option><option value=\"192. Zarumilla\"  data-calculation=\"0\">192. Zarumilla<\/option><option value=\"**Ucayali**\"  data-calculation=\"0\">**Ucayali**<\/option><option value=\"193. Atalaya\"  data-calculation=\"0\">193. Atalaya<\/option><option value=\"194. Coronel Portillo\"  data-calculation=\"0\">194. Coronel Portillo<\/option><option value=\"195. Padre Abad\"  data-calculation=\"0\">195. Padre Abad<\/option><option value=\"196. Pur\u00fas\"  data-calculation=\"0\">196. Pur\u00fas<\/option><\/select><\/div><\/div><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_6a80802ef1f4e\" id=\"forminator-field-name-5_6a80802ef1f4e-label\" class=\"forminator-label\">Distrito <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"Indicar Distrito\" id=\"forminator-field-name-5_6a80802ef1f4e\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_6a80802ef1f4e\" id=\"forminator-field-name-6_6a80802ef1f4e-label\" class=\"forminator-label\">Direcci\u00f3n <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"Direcci\u00f3n\" id=\"forminator-field-name-6_6a80802ef1f4e\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-7\" class=\"forminator-field-name forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-name-7_6a80802ef1f4e\" id=\"forminator-field-name-7_6a80802ef1f4e-label\" class=\"forminator-label\">Referencia<\/label><input type=\"text\" name=\"name-7\" value=\"\" placeholder=\"Referencia\" id=\"forminator-field-name-7_6a80802ef1f4e\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a80802ef1f4e\" id=\"forminator-field-email-1_6a80802ef1f4e-label\" class=\"forminator-label\">Correo electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Correo electr\u00f3nico\" id=\"forminator-field-email-1_6a80802ef1f4e\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6a80802ef1f4e-label\"><span id=\"forminator-radiogroup-radio-1-6a80802ef1f4e-label\" class=\"forminator-label\">\u00bfEres menor de edad? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6a80802ef1f4e\" class=\"forminator-radio forminator-radio-inline\" title=\"Si\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-6a80802ef1f4e\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6a80802ef1f4e\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-6a80802ef1f4e\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><label class=\"forminator-label\">PADRE\/MADRE\/TUTOR<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-8\" class=\"forminator-field-name forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-name-8_6a80802ef1f4e\" id=\"forminator-field-name-8_6a80802ef1f4e-label\" class=\"forminator-label\">Nombre<\/label><input type=\"text\" name=\"name-8\" value=\"\" placeholder=\"Nombre del Padre\/Madre o Tutor\" id=\"forminator-field-name-8_6a80802ef1f4e\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_6a80802ef1f4e\" id=\"forminator-field-email-2_6a80802ef1f4e-label\" class=\"forminator-label\">Correo electr\u00f3nico<\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"Correo Electronico\" id=\"forminator-field-email-2_6a80802ef1f4e\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-16136__field--select-4_6a80802ef1f4e\" id=\"forminator-form-16136__field--select-4_6a80802ef1f4e-label\" class=\"forminator-label\">Selecci\u00f3n de documentaci\u00f3n<\/label><select  id=\"forminator-form-16136__field--select-4_6a80802ef1f4e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Tipo de Documentaci\u00f3n\" data-search=\"false\" data-search-placeholder=\"Tipo de Documentaci\u00f3n\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-16136__field--select-4_6a80802ef1f4e-label\"><option value=\"\"  >Tipo de Documentaci\u00f3n<\/option><option value=\"one\"  data-calculation=\"0\">DNI<\/option><option value=\"two\"  data-calculation=\"0\">PASAPORTE<\/option><option value=\"CE\"  data-calculation=\"0\">CE<\/option><option value=\"RUC\"  data-calculation=\"0\">RUC<\/option><\/select><\/div><\/div><div id=\"name-9\" class=\"forminator-field-name forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-name-9_6a80802ef1f4e\" id=\"forminator-field-name-9_6a80802ef1f4e-label\" class=\"forminator-label\">N\u00famero de documentaci\u00f3n<\/label><input type=\"text\" name=\"name-9\" value=\"\" placeholder=\"Ingrese Nro. Documentaci\u00f3n\" id=\"forminator-field-name-9_6a80802ef1f4e\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><label class=\"forminator-label\">II. DETALLE DEL RECLAMO Y ORDEN DEL CONSUMIDOR<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-form-16136__field--select-5_6a80802ef1f4e\" id=\"forminator-form-16136__field--select-5_6a80802ef1f4e-label\" class=\"forminator-label\">Tipo de Reclamo<\/label><select  id=\"forminator-form-16136__field--select-5_6a80802ef1f4e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Tipo de Reglamo\" data-search=\"false\" data-search-placeholder=\"Tipo de Reglamo\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-16136__field--select-5_6a80802ef1f4e-label\"><option value=\"\"  >Tipo de Reglamo<\/option><option value=\"one\"  data-calculation=\"0\">Reclamaci\u00f3n<\/option><option value=\"two\"  data-calculation=\"0\">Queja<\/option><\/select><\/div><\/div><div id=\"select-6\" class=\"forminator-field-select forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-form-16136__field--select-6_6a80802ef1f4e\" id=\"forminator-form-16136__field--select-6_6a80802ef1f4e-label\" class=\"forminator-label\">Tipo de Consumo<\/label><select  id=\"forminator-form-16136__field--select-6_6a80802ef1f4e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-6\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Tipo de Consumo\" data-search=\"false\" data-search-placeholder=\"Tipo de Consumo\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-16136__field--select-6_6a80802ef1f4e-label\"><option value=\"\"  >Tipo de Consumo<\/option><option value=\"one\"  data-calculation=\"0\">Servicio<\/option><option value=\"two\"  data-calculation=\"0\">Producto<\/option><\/select><\/div><\/div><div id=\"name-10\" class=\"forminator-field-name forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-name-10_6a80802ef1f4e\" id=\"forminator-field-name-10_6a80802ef1f4e-label\" class=\"forminator-label\">N \u00b0 de pedido.<\/label><input type=\"text\" name=\"name-10\" value=\"\" placeholder=\"N \u00b0 de pedido\" id=\"forminator-field-name-10_6a80802ef1f4e\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a80802ef1f4e\" id=\"forminator-field-date-1-picker_6a80802ef1f4e-label\" class=\"forminator-label\">Fecha De Reclamaci\u00f3n\/ Queja cha<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Elegir fecha\" id=\"forminator-field-date-1-picker_6a80802ef1f4e\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"name-11\" class=\"forminator-field-name forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-name-11_6a80802ef1f4e\" id=\"forminator-field-name-11_6a80802ef1f4e-label\" class=\"forminator-label\">Monto Reclamado (S\/.)<\/label><input type=\"text\" name=\"name-11\" value=\"\" placeholder=\"Monto Reclamado\" id=\"forminator-field-name-11_6a80802ef1f4e\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a80802ef1f4e\" id=\"forminator-field-textarea-1_6a80802ef1f4e-label\" class=\"forminator-label\">Descripci\u00f3n del producto o servicio<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6a80802ef1f4e\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6a80802ef1f4e\" id=\"forminator-field-date-2-picker_6a80802ef1f4e-label\" class=\"forminator-label\">Fecha de compra<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"Elegir fecha\" id=\"forminator-field-date-2-picker_6a80802ef1f4e\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_6a80802ef1f4e\" id=\"forminator-field-date-3-picker_6a80802ef1f4e-label\" class=\"forminator-label\">Fecha de consumo<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"Elegir fecha\" id=\"forminator-field-date-3-picker_6a80802ef1f4e\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_6a80802ef1f4e\" id=\"forminator-field-textarea-2_6a80802ef1f4e-label\" class=\"forminator-label\">Detalle de la Reclamaci\u00f3n I Queja, seg\u00fan lo indicado por el cliente: <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_6a80802ef1f4e\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_6a80802ef1f4e\" id=\"forminator-field-textarea-3_6a80802ef1f4e-label\" class=\"forminator-label\">Pedido del Cliente: <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_6a80802ef1f4e\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12  detalles-reclamacion\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><p><strong>(1)<\/strong> Reclamaci\u00f3n: Disconformidad relacionada a \/los productos o servicios. <br><strong>(2)<\/strong> Queja: Disconformidad no relacionada \/os productos o servicios male star o descontento respeto a la atenci\u00f3n al publico.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_6a80802ef1f4e__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6a80802ef1f4e\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6a80802ef1f4e-label\" aria-describedby=\"forminator-field-consent-1_6a80802ef1f4e__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6a80802ef1f4e__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Declaro que soy titular del servicio y acepto el contenido del presente formulario manifestando bajo Declaraci\u00f3n Jurada la veracidad de los hechos descritos.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12  detalles-info\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><ul>\n<li>La formulaci\u00f3n del reclamo no impide acudir a otras v\u00edas de soluci\u00f3n de controversias ni es requisito previo para interponer una denuncia ante el <strong>INDECOPI.<\/strong><\/li>\n<li>El proveedor debe dar respuesta al reclamo o queja en un plazo no mayor a quince (15) d\u00edas h\u00e1biles, el cual es improrrogable.<\/li>\n<li>Con la firma de este documento, el cliente se autoriza a ser contactado despu\u00e9s de la tramitaci\u00f3n<br>de la reclamaci\u00f3n para evaluar la calidad y satisfacci\u00f3n del proceso de atenci\u00f3n de reclamaciones.<\/li>\n<li>He le\u00eddo y acepto la Pol\u00edtica de privacidad y seguridad y la Pol\u00edtica de cookies.<\/li>\n<\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Enviar Reclamo<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"6d34ae8724\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/16133\" \/><input type=\"hidden\" name=\"form_id\" value=\"16136\"><input type=\"hidden\" name=\"page_id\" value=\"16133\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/dermaprexmagistral.com\/en\/libro-de-reclamacion\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-16133","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dermaprexmagistral.com\/en\/wp-json\/wp\/v2\/pages\/16133","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermaprexmagistral.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dermaprexmagistral.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dermaprexmagistral.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dermaprexmagistral.com\/en\/wp-json\/wp\/v2\/comments?post=16133"}],"version-history":[{"count":5,"href":"https:\/\/dermaprexmagistral.com\/en\/wp-json\/wp\/v2\/pages\/16133\/revisions"}],"predecessor-version":[{"id":16145,"href":"https:\/\/dermaprexmagistral.com\/en\/wp-json\/wp\/v2\/pages\/16133\/revisions\/16145"}],"wp:attachment":[{"href":"https:\/\/dermaprexmagistral.com\/en\/wp-json\/wp\/v2\/media?parent=16133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}