The document is available online in English, Dutch, French and German. You are asked to fill in your name, nationality, date of birth, telephone number(s) e-mail address and to say which country or countries that you have visited.
The form also asks questions related to the length of your stay abroad and which mode of transport you used to return (plane, train, coach or car). The form can be filled in online. However, it is also possible to fill in a paper version and get it scanned before sending it in by email.