SkargaKraken Public IDLast name / Legal entity nameImięRegistration number or ID - optionalLegal entity identifier (LEI) - optionalAddress: Street, number, floor (For legal entities, registered office – Street, number, floor) - optionalPostcodeMiastoKraj zamieszkaniaKraj zamieszkaniaTelephone numberContact details (if different from personal data) - optionalPersonal details of the legal representative (if applicable) - optionalContact details of the legal representative (if different from personal data) - optionalFull reference of the crypto-asset service to which the complaint relates - optionalSupport ticket number (if applicable) - optionalProduct or Service - optional Product or Service - optionalDescription of the Complaint’s Subject MatterDate(s) of the facts that have led to the complaintDate(s) of the facts that have led to the complaintDescription of damage, loss or detriment caused (where relevant) - optionalOther comments or relevant information (where relevant) - optionalPower of attorney or other official document as proof of the appointment of the representative - optionalCopy of the contractual documents of the investments to which the complaint relates - optionalOther documents supporting the complaint (please upload) - optionalDate of submissionDate of submissionLocation (City, Country)Signature (Typed name or digital signature)Attach fileSubmit