Complaint form

To file a complaint to MERA please fill in the form.
After submitting a form please write down complaint number for future reference.
By submitting the form you agree with processing of the data submitted in the form.
If you are unable to fill in this form electronically, please use our printable form template (PDF version).

Physical person / company name *

Area / Location *

District *

Phone number *

Email address

Note on acting on behalf of complainant

Type of provider *

Service provider *

Name of officer liaised with at provider

Date of complaint *

Evidence of complaint

Upload

Area / Location of incident *

District *

Date of incident *

Complaint category *

Complaint brief description *

Evidence / documentation of incident

Upload