DSA Form

Your contact details

You are contacting us as:

Administrative authority Professional Individual

Administrative Authority

I'm a trusted flagger:

Yes No

Name of the Authority: Contact Person (Last Name and First Name): Address: City: Zip Code: Country: Email: Phone Number:

Professional

I'm reporting as:

Seller on the Decathlon Marketplace Supplier of Decathlon Third-Party Professional

Company Name: Company Number: Legal Representative (Last Name and First Name): Contact Person (Last Name and First Name): Address: City: Zip Code: Country: Email: Phone Number:

Individual

I'm reporting as:

Customer Individual Third Party

Last Name: First Name: Address: City: Zip Code: Country: Email: Phone Number:

Details of the content and product you are reporting

Product URL: My report is about:

By sending my report, I certify that the information and allegations detailed above are accurate and complete and that this form has been completed in good faith. I declare that I am fully informed of the risks incurred in the event of false declaration and/or misleading allegations.

I confirm

DSA Form (Article 16, DSA)

Report Illegal Content or Product

Your contact details

Administrative Authority

Professional

Individual

Details of the content and product you are reporting