Fraud form

Please complete all the fields below.

*You will find your file number (consisting of 8 digits) in the letter or email you received from us.

Your details:

We ask you to fill in your own personal details and not the personal details given on the letter.

I hereby declare:

I declare that I am not familiar with the purchase. I did not take delivery of the relevant products at my address, through someone else's address or through a collection point.

I declare that I have not authorised others to make a purchase using my personal data.

I can provide the following information about the time, course of events and the (possible) perpetrator of the identity theft:

I declare that I have filled in this form truthfully. By doing so, I am aware that a fraud report will be made on file and that the information I have provided may be shared with our client.

Date:

Signature:

Please leave this field empty.