Complaint form
Caution: fields with a * are required
Postal or parcel company involved *
Has the problem already been notified to the company ?       *
By what means ?
Electronically Date: 
  Contact person: 
By letter Date: 
  Contact person: 
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 ?         *
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
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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:   * 
E-mail:   *
Confirmation e-mail
E-mail:   *
Did you verify all data ?

You will receive a copy of your complaint at the address indicated 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.
Koning Albert II-laan 8 box 4, 1000 Brussel - Tel: 02 221 02 20 - Fax: 02 221 02 44 - E-mail: