Intakeform Ombuds Officer

The Ombuds Officer will treat the information you provide in this form with the utmost confidence and in accordance with the privacy legislation (GDPR).
The Ombuds Officer has an independent position within the university and a duty of confidentiality. This means the confidentiality of your information is guaranteed. For more information see: Ombuds Officer - Leiden University (universiteitleiden.nl)

Does your request concern a

question

new complaint

For questions you can email to ombudsfunctionaris@leidenuniv.nl.

First name *

Surname *

Student number *

Email address *

Phone number

Your study programme *

At which faculty are you studying *

Description of complaint:

Do you want to submit additional information to accompany this form? Send a mail to ombudsfunctionaris@leidenuniv.nl

Are there currently other procedures underway at Leiden University concerning this or other issues? *

Yes

No

Which? *

Have you been referred to the Ombuds Officer by another person/department?

Yes

No

By who?

If applicable on what date is the first appointment with the Ombuds Officer?

mm/dd/yyyy