INCIDENT/COMPLAINT FORM


To the attention of the GLOBALG.A.P. Secretariat

The Company sending this document:

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Focus of Objection, this Incident/Complaint is about the following Company(ies):

Product/Sector:
Organisation/Company:
GLOBALG.A.P. Number (GGN) - if applicable
Service/Subject:
Name (if relevant)
Official Legal Claim No. (if applicable)

Rationale/Description of the Incident/Complaint:

1. What happened? When did it happen?
2. Until now, which actions have you taken about this issue?
3. Which other institutions or individuals started working on this matter?
Information on the affected product/animals; Description of goods/animals; Quantities, Batches, Stall, section affected; Diagnosis/laboratory test result, etc.
Documents/Material presented (Please attach evidence (including names, dates, places, address, infraction, and if applicable effects upon your interests):
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Note: All information will be handled confidential by the GLOBALG.A.P. Secretariat. Further actions will be agreed and coordinated together with you.