CINXE.COM
Problem application
<!DOCTYPE html> <html> <head> <meta charset="utf-8"> <meta http-equiv="x-ua-compatible" content="ie=edge"> <meta name="description" content=""> <meta name="viewport" content="width=device-width, initial-scale=1"> <!-- Favicon --> <link rel="apple-touch-icon" sizes="180x180" href="/build/images/favicon/apple-touch-icon.png"> <link rel="icon" type="image/png" sizes="32x32" href="/build/images/favicon/favicon-32x32.png"> <link rel="icon" type="image/png" sizes="16x16" href="/build/images/favicon/favicon-16x16.png"> <link rel="manifest" href="/build/images/favicon/site.webmanifest"> <link rel="mask-icon" href="/build/images/favicon/safari-pinned-tab.svg" color="#f3af31"> <link rel="shortcut icon" href="/build/images/favicon/favicon.ico"> <meta name="msapplication-TileColor" content="#da532c"> <meta name="msapplication-config" content="/build/images/favicon/browserconfig.xml"> <meta name="theme-color" content="#ffffff"> <!-- Google Tag Manager --> <script> (function (w, d, s, l, i) { w[l] = w[l] || []; w[l].push({ 'gtm.start': new Date().getTime(), event: 'gtm.js' }); var f = d.getElementsByTagName(s)[0]; var j = d.createElement(s), dl = l != 'dataLayer' ? 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class="container clearfix"> <a href="/en/" class="logo-block"> <img src="/build/images/logo_mans_pasts_white.svg"/> </a> <div class="main-menu-block"> <div class="main-menu-block-inner"> <button type="button" class="menu-close"></button> <div class="overflow-wrapper"> <nav class="authentification-menu "> <div class="item"> <a href="/en/login"> <span>Sign In</span> </a> </div> <div class="item"> <a href="/en/profile/register"> <span>Register</span> </a> </div> </nav> </div> </div> <button type="button" class="menu-open"></button> </div> <div class="languages-block clearfix"> <a href="/lv/complain/shipment-delivery">LV</a> <a href="/en/complain/shipment-delivery">EN</a> </div> </div> </header> <div class="popup-block stay-in-session" id="sessionTimeoutModal"> <div class="d-table w-100 h-100"> <div class="d-table-row"> <div class="d-table-cell align-middle h-100"> <div class="popup-content"> <div class="container regular"> <div class="inner-wrapper"> <div class="form-layout"> <div class="text-center input-append"> <div style="display: none" id="timeout-message-text">session_will_expire_in</div> <div style="display: none" id="timeout-message-time"></div> <div style="display: none" id="timeout-message-seconds">seconds</div> <div class="text-style text-center mb-5" id="timeout-message"></div> <div class="btn-group"> <a href="#" class="button-figurless" id="close-session"> sign_out_now </a> <button type="button" class="button button-blue button-cancel continue-session" id="continue-session"> continue_work </button> </div> <div style="display: none" id="session-has-expired-message">session_has_expired_message</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="page-content-inner-wrapper"> <div class="container regular"> <div class="row"> <div class="col"> <h1>Problem application</h1> </div> </div> <div class="row"> <div class="col"> <div class="inputblock has-value"> <select id="page-link-dropdown" style="margin-bottom: 25px; max-width: max-content;"> <option selected style="display: none" value="/en/complain/shipment-delivery">Shipment Delivery</option> <option value="/en/complain/damaged-shipment">Damaged Shipment</option> <option value="/en/complain/technologies">Digital Solutions and Devices</option> <option value="/en/complain/service-quality">Service Quality</option> <option value="/en/complain/other">other</option> </select> <label class="inputblock-label" for="page-link-dropdown">Subject</label> <div class="grad-seperator-block"></div> </div> <script type="text/javascript"> document.getElementById('page-link-dropdown').addEventListener('change', function () { window.location.href = this.value }) </script> </div> </div> </div> <div class="pns-document form-layout container regular"> <form name="shipment_delivery" method="post" novalidate="novalidate" class="form-inline" enctype="multipart/form-data"> <div class="row full-width-inputs"> <div class="inputblock" style=""> <div class="inputblock-input"> <input type="text" id="shipment_delivery_shipmentNumber" name="shipment_delivery[shipmentNumber]" required="required" /> </div> <label class="inputblock-label required" for="shipment_delivery_shipmentNumber">Shipment Number*</label></div> </div> <div class="row toggle-is-company-radio-button complaint-is-company-choice"> <div class="col-sm-8 pl-0"> <div class="row"> <div class="col"> <div class="inputblock"> <div class="inputblock-checkbox clearfix"><input type="radio" id="shipment_delivery_isCompany_0" name="shipment_delivery[isCompany]" required="required" value="0" checked="checked" /> <label class="" for="shipment_delivery_isCompany_0">Individual</label></div> </div> </div> <div class="col"> <div class="inputblock"> <div class="inputblock-checkbox clearfix"><input type="radio" id="shipment_delivery_isCompany_1" name="shipment_delivery[isCompany]" required="required" value="1" /> <label class="" for="shipment_delivery_isCompany_1">Company</label></div> </div> </div> </div> </div> </div> <div class="row"> <div class="inputblock" style=""> <div class="inputblock-input"> <input type="text" id="shipment_delivery_name" name="shipment_delivery[name]" required="required" /> </div> <label class="inputblock-label required" for="shipment_delivery_name">Name/Surname or Company name*</label></div> <div class="inputblock" style=""> <select id="shipment_delivery_theComplainant" name="shipment_delivery[theComplainant]" class="toggle-visibility-select" data-togglable-element=".bank-account-for-refund"><option value="0">Receiver</option><option value="1">Sender</option></select> <label class="inputblock-label required" for="shipment_delivery_theComplainant">The Complainant*</label></div> </div> <div class="row"> <div class="inputblock" style=""> <div class="inputblock-input"> <input type="email" id="shipment_delivery_email" name="shipment_delivery[email]" required="required" /> </div> <label class="inputblock-label required" for="shipment_delivery_email">E-mail*</label></div> <div class="inputblock" style=""> <div class="inputblock-input"> <input type="text" id="shipment_delivery_phone" name="shipment_delivery[phone]" required="required" /> </div> <label class="inputblock-label required" for="shipment_delivery_phone">Phone number*</label></div> </div> <div class="row checkbox-toggle-switch"> <div class="inputblock has-value" style=""> <div class="inputblock-checkbox clearfix"><input type="checkbox" id="shipment_delivery_hasContract" name="shipment_delivery[hasContract]" class="toggle-visibility-checkbox" data-togglable-element=".contract-number" value="1" /> <label class="" for="shipment_delivery_hasContract">Have contract</label> </div></div> </div> <div class="row hide-company-reg-no"> <div class="inputblock" style=""> <div class="inputblock-input"> <input type="text" id="shipment_delivery_companyRegNo" name="shipment_delivery[companyRegNo]" required="required" /> </div> <label class="inputblock-label required" for="shipment_delivery_companyRegNo">Registration no*</label></div> </div> <div class="row show-when-checked contract-number"> <div class="inputblock" style=""> <div class="inputblock-input"> <input type="text" id="shipment_delivery_contractNumber" name="shipment_delivery[contractNumber]" required="required" /> </div> <label class="inputblock-label required" for="shipment_delivery_contractNumber">Contract Number*</label></div> </div> <div class="row"> <div class="inputblock" style=""> <select id="shipment_delivery_shipmentProblem" name="shipment_delivery[shipmentProblem]"><option value="2">Delayed Delivery</option><option value="3">Shipment Lost</option><option value="4">Shipment Returned</option><option value="5">Shipped to Someone Else</option><option value="6">Shipment Missing Items</option><option value="10">other</option></select> <label class="inputblock-label required" for="shipment_delivery_shipmentProblem">Shipment problem*</label></div> </div> <div class="row full-width-inputs"> <div class="inputblock" style=""> <div class="inputblock-textarea"><textarea id="shipment_delivery_shipmentDescription" name="shipment_delivery[shipmentDescription]" required="required" wrapper="inputblock-textarea"></textarea> <label class="inputblock-label required" for="shipment_delivery_shipmentDescription">Shipment Description*</label></div></div> </div> <div class="row"> <div class="inputblock" style=""> <div class="inputblock-input money-widget"><div class="inputblock-input"> <input type="text" id="shipment_delivery_shipmentValue" name="shipment_delivery[shipmentValue]" required="required" /> </div><span class="postfix">€ </span> </div> <label class="inputblock-label required" for="shipment_delivery_shipmentValue">Shipment Value*</label></div> <span class="bank-account-for-refund" data-hide-on="0"> <div class="inputblock" style=""> <div class="inputblock-input"> <input type="text" id="shipment_delivery_bankAccountForRefund" name="shipment_delivery[bankAccountForRefund]" required="required" /> </div> <label class="inputblock-label required" for="shipment_delivery_bankAccountForRefund">Bank Account for Refund (in case of a positive decision)*</label></div> </span> </div> <div class="row"> <div class="inputblock custom-file-input" style=""> <div class="custom-file"><div class="inputblock-input"> <input type="file" id="shipment_delivery_documentPhotoUrls" name="shipment_delivery[documentPhotoUrls][]" accept="image/*, application/pdf, application/x-pdf" multiple="multiple" /> </div> <div class="custom-info-popup hide-popup"> <i class="icon icon-info-icons"> <span class="popup-text">If you need to attach multiple files, please upload them together</span> </i> </div> </div> <label class="inputblock-label" for="shipment_delivery_documentPhotoUrls">Proof of value (invoice, receipt, delivery note, etc.)</label></div> </div> <div class="row full-width-inputs"> <div class="inputblock" style=""> <div class="inputblock-textarea"><textarea id="shipment_delivery_comments" name="shipment_delivery[comments]" wrapper="inputblock-textarea"></textarea> <label class="inputblock-label" for="shipment_delivery_comments">Comments</label></div></div> </div> <div class="row"> <button type="submit" class="button button-blue"> Submit </button> </div> <div class="inputblock-input"> <input type="hidden" id="shipment_delivery__token" name="shipment_delivery[_token]" value="5AbqlcjXiFgcqMAEq0Lvzt7s9xmV_g4OQ2ZkFb13mLE" /> </div></form> </div> <link rel="stylesheet" href="/build/css/overrides_for_form.16290d6f.css" media="all"/> <script src="/build/visibility_toggler.4c89de38.js"></script> </div> </div> <footer class="footer-layout"> <div class="container"> <div class="footer-layout-inner"> <div class="row"> <div class="col"> <div class="quicklinks-block"> <nav class="clearfix"> <a target="_blank" href=" https://pasts.lv/ ">Pasts.lv</a> <a target="_blank" href=" https://pasts.lv/lv/kategorija/pakalpojumu_kalkulators/ ">Tariffs</a> <a target="_blank" href=" 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