Reporting form

Personal data (optional)

First and last name

E-mail address

Phone number

How do you relate to our company?

Information on the incident

Subject*

Description*

When did the incident occur?*

Are other companies affected by the incident?*

Siegfried Jacob Metallwerke GmbH & Co. KG

Nickelhütte Aue GmbH

Siegfried Jacob GmbH & Co. KG

Jacob Metal Group

Did you notice the incident yourself?*
Yes
No

Please confirm the accuracy of your information.*

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