SMSPO / OMPS - Complaint form

Complaint form

Caution: fields with a * are required
Postal or parcel company involved		*

Has the problem already been notified to the company ?

Yes No

By what means ?

Electronically	Date:
	Contact person:
	Address:
By letter	Date:
	Contact person:
	Address:
By fax	Date:
	Contact person:
	Fax number:
In person	Date:
	Contact person:
	Place or telephone number:

Caution: if you have notified your problem in another way or if you have several complaints, please mention this in the box: Your problem.

Did you receive an answer ? Yes No *

Caution: please send us a copy of the answer. You can send or fax it to us or attach it to the form or your e-mail. Should the reference number used by the complaint's department of the company involved be available, please send us this as Well.

Your problem

To add files Having trouble uploading? Send your attachment to info@omps.be

Your contact details

Name: *

First name: *

In case you represent a company or organisation

Name of the company, organisation,...:

Your position:

Address: *

Number: * PO box:

Postal code: * Place: * Country: *

Telephone:

Fax:

E-mail:

Confirmation e-mail

E-mail:

In case of a compensation payment:

IBAN account number:

BIC account number:

Did you verify all data ?

Caution:

if you entered an e-mail address:
- you will receive a copy of your complaint at the address indicated after you press “send”
if you did not enter an e-mail address:
- you can print the complaint by pressing “PRINT” after you press “SEND”

As soon as your request for mediation is registered, a confirmation of receipt will be sent to you including a reference number, the name and the contact details of the person treating your case.