Request form

Please fill out this form as completely as possible. The Consumer Mediation Service will investigate whether the dispute is within its jurisdiction. It is necessary that you have already tried to reach a solution yourself with the company concerned. Please also refer to our conditions of admissibility.
Your information
Description of the dispute

Please do not use emoticons. Otherwise, your file will not reach us for technical reasons.

Company information
Attachments

Include all helpful documents with your complaint (letters, contracts, receipts, slips, etc.)
WARNING: The total size of your files must be less than 10MB!

More information
  • Files must be less than 9.6 MB.
  • Allowed file types: gif jpg jpeg png txt rtf pdf doc docx ppt pptx xls xlsx zip.
More information
  • Files must be less than 9.6 MB.
  • Allowed file types: gif jpg jpeg png txt rtf pdf doc docx ppt pptx xls xlsx zip.
More information
  • Files must be less than 9.6 MB.
  • Allowed file types: gif jpg jpeg png txt rtf pdf doc docx ppt pptx xls xlsx zip.

The documents provided may be forwarded to the company concerned. Personal data are stored in the Consumer Ombudsman Service database exclusively for the purpose of processing your complaint. Pursuant to the law of 8 December 1992 and, as from 25 May 2018, European Regulation (EU) 2016/679 ("GDPR"), you may consult this data and, if necessary, request its rectification, erasure or restriction of processing.

What is your data used for?
Your data is exclusively used for the treatment of your request of an amicable settlement. In case the Consumer Mediation Service is not competent, we can refer your complaint to the qualified entity.

The Consumer Ombudsman Service is committed to protect your privacy. With our privacy statement, we want to inform you in a clear and transparent way about how we treat your personal data. You will find our privacy statement on this link. Please read our privacy statement carefully and give your consent before submitting your complaint.