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Your Personal Data

The Prescription Pricing Division will only use the personal information provided on this on-line form to deal with your interaction.

Your personal data will be sent via e-mail across the Internet to the PPA.

We will not disclose your Personal Data to any third party or transfer it outside of the European Economic Area.

The PPA aims to resolve complaints as quickly as possible. However, in the event of a complaint being received, the PPA may hold onto the data for statistical analysis for a maximum of eighteen months.

Orange fields are mandatory - Please complete all mandatory fields. (also marked with a * for older browsers)

*
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(house number and street name)
*Town
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* Postal Code
   
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* Details of your comment, compliment or complaint:


Date of your last contact with PPA:


Name of person contacted at PPA
(as appropriate):


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