Complaint form *Name and surname *Place of residence *Postal code and city *Street and number *E-mail address Telephone number Name of the bank and account number for return *Reasons for complaint unused train tickettrain delay or cancelledrail fineservice qualitytravelling conditionssafetytimetableother claims Information concerning passage Starting station Final station Date and hour of passage : Number of the ticket or the request for payment *Content of the complaint Attachments Acceptable size of one attachment is 500 KB The gathered personal data will be processes on the basis of provisions of the Act of 29th August 1997 on the protection of personal data (that is, Journal of Laws of 2016, item 922). The administrator of personal data will be the company "Koleje Śląskie" Spółka z o.o. seated in Katowice, code 40-074, 58 Raciborska Street. The personal data given by you are gathered only for the purpose and within the scope necessary for processing your complaint and it will not be disclosed to third parties without your consent. You have the right to access your personal data and correct it. Personal data submission is voluntary, yet it is necessary for examination of your complaint. * I hereby give my consent for disclosing my personal data only for the purposes of examining this complaint for the company Koleje Śląskie sp. z o.o. * I hereby give my consent for processing my personal data for the purposes of examining this complaint for the company Koleje Śląskie sp. z o.o. * - required field