Complaint form (English)

Report your complaint to the CIBG using the form below. The more information we have about you, the better we can handle your complaint.

Complaint form

Your data

Initials(verplicht)

Surname(verplicht)

E-mail adress(verplicht)

Phone number(verplicht)

We would like to receive your phone number to be able to call you and help you better

Date of birth

Kies uit kalender

Your complaint

Your complaint(verplicht)

BIG Register Office of Medicinal Cannabis CIBG in general Register of Veterinary Medical Practitioners Donorgegevens Kunstmatige Bevruchting Donorregister Erkenning Geschilleninstanties Farmatec Gratis VOG Jaarverantwoording Zorg & Jeugd Landelijk Consortium Hulpmiddelen Landelijk Implantaten Register Landelijk Register Zorgaanbieders Locatieregister Nationaal Contact Punt voor e-Health Online Aanbieders Medicijnen Register of Sociale Hygiëne SBV-Z UZI-register Verwijsindex risicojongeren Wet Normering Topinkomens Wet toetreding zorgaanbieders Zorgaanbiedersportaal Other

Complaint(verplicht)

Spoken with

Reason(verplicht)

Handling your case Treated Accessibility of the organization Registration or application Website Other

Reason(verplicht)

Describe your complaint(verplicht)

If you have a number or reference from previous contact with us (e.g. from an e-mail or letter), please mention this as well.

Attachment

Controlevraag *

Information about the processing of your personal data

If you file a complaint with CIBG, we will store the personal data. We only use this information to handle your complaint and to be able to reach you. If you would like to know more about the processing of your personal data, please visit cibg.nl/privacy.

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Complaint form (English)

Complaint form

Show additional information about the processing of your personal data