Kontaktoplysninger
First name
(Mandatory field)
Last name
(Mandatory field)
Address
(Mandatory field)
Postal code
(Mandatory field)
City
(Mandatory field)
Email
(Mandatory field)
Phone number
(Mandatory field)
Fare evasion ticket no.
(Mandatory field)
You can find the number in the top of the slip that you received in the bus
Bus line number
Bus stop
Where did you enter the bus?
Hændelsesforløb
What happened?
(Mandatory field)
Vedhæft evt. dokumentation
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