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: 
  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 ?         *
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.
Koning Albert II-laan 8 box 4, 1000 Brussel - Tel: 02 221 02 20 - Fax: 02 221 02 44 - E-mail: info@omps.be