FR
NL
FPS
Mobility and Transport
DG
Sustainable Mobility and Rail Policy
Details about the rail passenger
Surname
*
First name
*
Sex
*
Male
Female
Street
*
Number
*
Postal code
*
City or town
*
Country
Telephone
*
Email address
*
About the incident
Company against which the complaint is filed
*
Type of company
*
Railway Undertaking
Ticket Vendor
Station Manager
Departure date
*
Country where the incident took place
*
Have you already filed a complaint ?
*
No, no complaint has been filed
Yes, with the railway undertaking
Yes, with another private or public authority (e.g. Ombudsman or a consumer protection association)
in particular
*
Tick below the appropriate boxes relating to the type of incident.
It is possible to tick more than one box.
Type of incident
Availability of information
Availability of tickets and reservations
Bicycles
Death or personal injury of passengers
Loss or damage to (registered) luggage, vehicles and/or other articles, theft.
Refund or compensation for delays or cancellations
Assistance in the event of delays or cancellations
Information, accessibility and assistance to persons with reduced mobility
Passengers´ personal security
Complaint handling
Description of the incident
Annexes
(e.g. a copy of the travel ticket, reservation ticket, correspondence with the railway undertaking, ombudsman or other services)
Annex1
Annex2
Annex3
Annex4
Annex5
Authorisation
I authorise the competent national authority responsible for the enforcement of Regulation (EC) 1371/2007 to investigate, as far as possible, the incident that is the subject of my complaint and to make the necessary contacts with the body concerned.
I authorise the competent national authority to collect and process my personal data insofar as they are necessary to handle my complaint.
*
Yes
No
Verification
In order to determine that you are a real person (and not a machine)
,
we ask you to make the following simple calculation (in figures).
Give the sum of the numbers
four
and
five
:
*
Send
Fields marked with an asterisk
(
*
)
are mandatory