Complaint Form | Nayax

Preliminary Information

Operator ID*

Country*

Line Of Business*

Contact Information

Full Name*

Email Address*

Phone Number*

Address*

Request Details

Date & Time of Incident*

Place / Location*

1. When did you learn about the issue?*

2. Reason for your complaint*

3. Desired outcome*

4. Supporting Documents

Click to upload or drag and drop

PDF, JPG, PNG • Max 10MB

5. Have you raised this issue before?*

No Yes

Date of Previous Report

Case Number

Agreement & Signature

Privacy Policy Agreement*

I agree to Nayax's Privacy Policy

Signature*

Click to sign

Full Name*

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Submission Received

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