Complaint form

On whose behalf are you completing the form?

On my own behalf

On behalf of someone else

On behalf of a company, an association, or an organisation

On my own behalf

Your name

Surname

First name

Contact

Complete at least one of the following three fields to ensure that Ombuds Brussels can contact you.

E-mail address

Telephone number

Postal address

On behalf of someone else

Votre nom

Your surname

Your first name

Your relationship to the person

Accord

I confirm that I have the person's permission to lodge a complaint on his/her behalf.

Your contact details

Complete at least one of the three following fields to ensure that Ombuds Brussels can contact you.

E-mail address

Telephone number

Postal address

Contact details of the person on whose behalf you are lodging a complaint

Surname

First name

E-mail address

Telephone number

Postal address

On behalf of a company, an association, or an organisation

Your surname

Your first name

Your role within the company, association, or organisation

Name of the company, association, or organisation

Contact

Complete at least one of the following three fields to ensure that Ombuds Brussels can contact you.

E-mail address

Telephone number

Postal address

Which Brussels administration does your complaint relate to?

Administration

If another entity, please specify:

Have you already contacted this public administration to resolve your problem?

Yes

Déjà entrepris

On what date did you contact the public administration?

What is the name of your contact person?

What is your file's reference number?

In that case Ombuds Brussels will be unable to help you. You must contact the public administration in question first.

Please, give a detailed description of the facts you are submitting a complaint about

Attach documents

Upload any documents that will help Ombuds Brussels to gain an understanding of the situation you are submitting a complaint about (e-mails, letters, documents, etc.) here.

How to submit a complaint?

plaintes@ombuds.brussels

+32 2 549 67 00

Mail or appointment :
Ombuds Bruxelles
Place de la Vieille Halle aux Blés 1
1000 Bruxelles

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