Claim | Plzeňská karta

This form can only be used for the complaints listed below, which can be resolved electronically and do not require a personal visit to PMDP Customer Centers.
For complaints regarding SMS tickets, please use the separate complaint form.

The complaint concerns *

Name *

Last name *

E-mail *

Phone

Address

Pilsen Card number

Address *

Transaction date *

Transaction time *

Date of application

Application number *

Pilsen Card number *

form_capturedate_label *

form_capturetime_label *

Order number *

Bank card number *

Last billing number *

Line number

form_numberzoppk_label *

Direction

Vehicle number

Code for communication with the info line *

Bank account number

Requested method of complaint resolution *

Message *

Attachments (allowed file types: PDF, DOC, DOCX, JPG, PNG, ZIP, RAR max. total file size: 5 MB):

Attachment 1

Attachment 2

Attachment 3

* I agree to the processing of personal data.