Cross Border Complaint Form ECCNET

Information 1) In order to fill in and submit this complaint form you must have at least the Adobe reader version 8.1.2 or higher otherwise you will not be able to use the form. 2) "*" are mandatory fields. 3) The field "Country of residence" will enable the information you provide to be directed to the appropriate ECC (Consumer ECC) office.

Disclaimer Follow-up of your Cross Border Complaint requires the recording of your personal data (as specified on this form) and any attached documents by the European Commission and for further processing by the service(s) in charge of the handling of your complaint. Should you require further information to exercise your rights (e.g. access to information or changing or correcting data) please contact your local ECC office.

I have read and accept the disclaimer

Please choose the language you want to use in the form

Follow the instructions below: 1) Verify that an internet connection is active. 2) When the form is completed click the following 'Submit Complaint' button. You will know that your Cross-Border Complaint Form has been correctly submitted to the ECC if a submission number appears in the corresponding box. 3) Once you receive this "Submission number", save a copy of your completed Cross-Border Complaint Form to your local computer and do not click again on the submit button. 4) If the form is not properly filled, an alert box will appear indicating the number of incorrect fields and those incorrect fields will be automatically surrounded in red. Please check your Cross-Border Complaint Form again and try to re-submit it according to step 2). Should you still have any difficulties please contact your local ECC office.

Submit complaint

Submission number

ECC-Net (European Consumer Centre Network) is jointly financed between Member States and European Commission (Directorate General Health and Consumers)

Consumer details

Surname*

Address [1]

City [1]

Postcode [1]

Country of residence*

First Name*

Phone [3]

Telephone (daytime)

Fax

E-mail address [2]

Male FemaleGender*

Complete address (Address, City, Postcode) OR valid Email address [2] OR Phone [3] is required

Trader details

Name or other identification criteria*

Address

Postcode

Country*

Website

Phone

Fax

E-mail address

Did you already contact the trader?* Yes No

Problem details

Date of purchase or date of contract signature

Date of delivery

Place of purchase or contract signature

Price of the product or service

Means of payment

Selling method

Problem description (Maximum 2000 characters)

Remaining characters: 2000

The "Problem description" field provides you with an opportunity to describe your complaint in 2000 characters.

SolutionExpected solution

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Attach Documents

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In order to help us in assess your complaint, please attach copies of any relevant documentation, such as a copy of your contract/order confirmation/proof of payment and any previous correspondence with the trader.