FPS Mobility and Transport
DG  Sustainable Mobility and Rail Policy

Details about the rail passenger
Surname*
First name*
Sex*
Street* Number*
Postal code* City or town*
Country
Telephone*
Email address*

About the incident
Company against which the complaint is filed*
Type of company*
Departure date*
Country where the incident took place *
Have you already filed a complaint ?  *
Tick below the appropriate boxes relating to the type of incident.
It is possible to tick more than one box.
Type of incident
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.*


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 one and five:*

Fields marked with an asterisk  (*are mandatory