Contact

Instructions

Please enter your contact information and click the Save and Next button at the bottom of this page. The system will immediately send you a message via email. When you click on the link in the message, it will take you to the next page so that you can enter the rest of the detailed information about the event that you are reporting and submit it to the CER.

First name

Last name

Company name

Address

City

Country

Province or territory

Postal code

Work phone number (999-999-9999)

Extension

Cell phone number (999-999-9999)

Fax number (999-999-9999)

Home phone number (999-999-9999)

Email address

Confirm email address

Check the box below and follow any additional instructions