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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the 'DATOS DEL TITULAR' section. Enter your last name, first name, and identification numbers such as DNI, CI, LC, CUIT, and CUIL.
- Next, complete the 'DATOS DEL APODERADO/GESTOR OFICIOSO' section if applicable. Provide the same details for the representative including their last name, first name, and identification numbers.
- In the 'DOMICILIO DEL TITULAR/APODERADO QUE PRESENTA EL RECLAMO' section, input your address details including street name, number, postal code, locality, phone number, fax (if any), floor number, department (Dpto), province, and email.
- Select the type of presentation under 'TIPO DE PRESENTACIÓN'. Indicate whether you are presenting personally or on behalf of beneficiaries. If representing others, fill in their names and document types.
- Detail your claim in the 'DATOS DEL RECLAMO' section. Summarize your complaint and list any attached documentation.
- Finally, review all information for accuracy before signing. Ensure you authorize any necessary actions as indicated at the bottom of the form.
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