Name Surname (Complainant / s or Trade Union)*

Your Address Complainant's (or the Union)*

Mail address(not mandatory)

Contact number of Complainant (s) or Trade Union)*

The name of the entity you are complaining to (compulsory)*

NUIS *

Region where the entity you are complaining exercises their activity(Compulsory)*

Address of the entity you complain about

Your complaint is:*