Register your complaint or claim

Complete this form to register your complaint or claim. Go Wex will respond to your request and send the response to the email address you indicate, within the period established by current regulations.

1. Consumer identification

First and last names Document Type

Document number Telephone

Email address Email Confirmation

I am a minor (the information of the father, mother or guardian will be requested)

2. Identification of the contracted service

Program Season

3. Details of the complaint or claim

Request Type

Consumer claim Disagreement related to the contracted service. Complaint Dissatisfaction with the customer service received.

Reason Detail of the event What do you request?

Attach evidence

No file selected

You can attach JPG, PNG, WEBP or PDF images (maximum 5 files, 5 MB each).