Complaints

Complainant Contact Information

Full Name: *

Email Address: *

Phone Number: *

Date: *

Location: *

Port Airport Border Crossing

Your Role / Capacity: *

Preferred contact method :for updates *

Email Phone Both

Date of Incident: *

Approximate Time:

Specific spot: *

Terminal Berth Inspection Bay Port Health Office

Key Reference Numbers:

Flight number / Aircraft registration Vessel name / IMO number / Voyage number Container number(s) Bill of Lading (B/L) or Air Waybill (AWB) Entry / Import declaration / CHED reference Health / Vaccination / Medical certificate reference Existing Port Health case or notification number

(fill in what applies)

What happened? (Describe in order: what you expected vs what occurred, who said/did what, any reference numbers) *

Short description *

Severity

Low (minor inconvenience) Medium High (significant disruption or cost) Critical (health/safety risk or major loss)