Consumer Complaint Form

CFTA Complaint Form
Date of Complaint

DayMonthYear
Date
Full Name*

First NameLast Name
Position in Organisation*
Complainant*
Give full details on the identity of the legal or natural person submitting the complaint. Indicate the position of the complainant vis -à -vis the complainee (e.g. customer, competitor).
Complainee*
Identify the enterprise(s) or association of enterprises whose conduct the complaint relates to, (name, address, contact details).
Details of the Alleged Infringement*
Set out in detail the facts from which, in your opinion, it appears that there exists an infringement of Article 81 or 82 of the Treaty.
Evidence*
Submit all documentation in your possession relating to or directly connected with the facts set out in the complaint.
Details of Other Parties Who May Be Able to Provide Further Information Regarding the Complaint*
Finding Sought*
Explain what finding or action you are seeking as a result of proceedings brought by the Commission.
Proceedings Before Other Authorities and/or Courts*
Provide full information about whether you have approached, concerning the same or closely related subject-matters, any other authority or sector regulator and/or whether a lawsuit has been brought before a national court.
Please upload any supporting documents.

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Declaration
I First Name Last Name declare that the information I have submitted in the Complaint Form and in the Annexes thereto is true and correct to the best of my knowledge and belief. I Agree*
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CFTA Complaint Form

Declaration