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Complaint form You must have JavaScript enabled to use this form.Fields marked with an * are mandatory. Your details Initial(s) * Surname * Date of birth * Address * Postal Code * Domicile * Country * Telephone number * Description of the complaint CJIB number Describe your complaint * Describe you complaint. Additional information If you have additional information that is needed to handle your complaint, you can upload it here. Upload Additional information Files must be smaller than 2 MB.Allowed file types: jpg, jpeg, png, bmp of pdf. Upload Language selection Select in which language you prefer to receive our reply. Language * - Select -GermanEnglishFrenchDutch Versturen Leave this field blank