Contact form

* = Fields marked with an asterisk are mandatory

I am a *

Citizen

Business

Subject *

Specify your need/ question *

First Name *

Last Name *

Organization *

Email *

Verification email *

Datum vraag *

Contact preference – specify your choice *

Email

Telephone

Phone number *

Contact preference – specify your choice *

Email

Telephone

Message Box (for entrepreneurs)

Phone number *

Messagebox account *

In the province of Noord-Brabant you can apply via Message Box. Message Box is a secure email system that enables you as an entrepreneur to exchange digital messages with Dutch government agencies.

Privacy

The province of Noord-Brabant (North Brabant) attaches great importance to privacy. By sending the form you give permission to use your data. We only use your data to process your question/request.

You can consult the complete privacy statement of the province of Noord-Brabant (in Dutch) on the provincial website.

Form_ID

Webhook