Complaint & Appeal: templates and forms
10 forms available to fill out or download.
Complaint about a medical facility (Poland)
A complaint to the head of a Polish hospital, clinic or practice about treatment, service or a breach of patient rights — a refused service, missing information, poor treatment, records withheld: the patient's details, the date and department, what happened, the action expected and a request for a written answer within 30 days. It notes that the complaint does not close the route to the Patient Rights Ombudsman, the National Health Fund or the courts.
Complaint to a bank or other financial institution (Poland)
A customer's complaint to a Polish bank, credit union, lender or insurer — about a wrongly charged fee or interest, an instruction not carried out, a faulty transfer or a refused payout: the product or contract, what the complaint is about, the demand, the amount and account for a refund, and how to reply. It reminds the institution of the statutory 30 days — 15 business days for payment services — after which the complaint is deemed decided in the customer's favour.
Complaint about a package holiday (Poland)
A complaint about a trip organised by a Polish travel agency, under the Package Travel Act: the contract number, the trip and dates, the price, the travellers, the failures to perform as agreed — hotel, meals, transport, programme — when and to whom they were reported on the spot, and a demand for a price reduction and for damages or compensation for a spoiled holiday (art. 50). It lists the evidence and the account for payment.
Complaint about an unauthorised payment transaction (Poland)
A complaint to a Polish bank or other payment provider when money has left an account or card through transactions the customer did not make: the account or card, the disputed transactions with dates and amounts, when they were discovered and the card blocked, the police report, and a demand for a refund by the end of the next business day (art. 46 of the Payment Services Act). It reminds the bank that it must prove authorisation.
Claim for compensation for a delayed or cancelled flight (EU 261)
A passenger's claim to an airline, in Polish, for compensation under Regulation (EC) No 261/2004: the flight number and date, the route, the booking reference, the scheduled and actual arrival times, the disruption to underline — a delay of 3 hours or more, a cancellation, or denied boarding — the 250, 400 or 600 euro due, expenses and the account. It reminds the airline that only extraordinary circumstances, which it must prove, release it.
Complaint about a telecoms service (Poland)
A complaint about a phone, internet or TV service under Poland's Electronic Communications Law, which replaced the Telecommunications Law in November 2024: the contract and service, the period complained of, what went wrong — an outage, poor quality, a wrong invoice — the refund or compensation claimed and how the answer should come. It reminds the provider that it has 30 days, and that no answer in that time means the complaint is accepted.
Complaint to an electricity or gas supplier (Poland)
A household customer's complaint to a Polish electricity or gas supplier — about an inflated bill, an estimated reading, the wrong tariff or an interruption: the customer, contract and meter numbers, the invoice and billing period, the meter reading, what is wrong, the demand and the account for an overpayment. It reminds the supplier that a complaint not dealt with in 14 days is upheld, and that one filed after a disconnection notice holds off the disconnection until it is decided.
Complaint about goods that do not conform to the contract (Poland)
A consumer complaint under the Polish rules on goods not conforming to the contract, which replaced the Civil Code warranty between shops and consumers on 1 January 2023: the item, when it was bought and for how much, the proof of purchase, what is wrong and when it showed, and a demand for repair or replacement. It reminds the seller that it is liable for 2 years from delivery and that no answer within 14 days means the complaint is accepted.
Application to annul a final fixed-penalty ticket (Poland)
An application to the Polish district court to annul a fixed-penalty ticket (mandat) that has already been accepted — for a traffic offence, say — under art. 101 of the Code of Procedure for Petty Offences. It identifies the ticket, the date it became final, the statutory ground and the reasons. The grounds are narrow — an act that is not an offence, a person under 17, a fine above the legal limit — and the deadline is 7 days from the ticket becoming final. The document says so plainly.
Appeal against a tax decision (odwołanie od decyzji podatkowej)
An appeal against a first-instance decision of a Polish tax office head, mayor or other tax authority, with what art. 222 of the Tax Ordinance requires: the objections to the decision, the substance and scope of the demand, and the evidence. It is filed within 14 days of the decision being served, through the authority that issued it. The appeal is free, and the appeal body cannot leave the appellant worse off unless the decision flagrantly breaches the law or the public interest.