Importing Medicines

To lodge a complaint relating to the import or export of therapeutic products.

This form should ONLY be used to lodge a complaint relating to the import or export of therapeutic products.

Examples could include: an unauthorised person importing or exporting prescription medicines;

Your Contact Details

Your name
Your email address
Your telephone number (include area code)
Your mobile number
Your fax number
Details of Complaint
Date problem was encountered
Name of product concerned
Name of company/person, supplying the product
Address of company/person
Contact details of company/person (telephone, fax website, etc)
Details of complaint - please be as specific as possible
Do you have a sample of the product, any documents or any other supporting material?	Yes No