Le GFF et PAI annoncent le lancement d’un nouveau partenariat
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Hub GFF
Qui sommes-nous
Qui sommes-nous
À propos du CSCG
Ressources du Hub
Profils de pays
Échange de connaissances
Contacts utiles
Octroi de subventions
Partenaires subventionnés des OSC du GFF
Dernières nouvelles
Feedback
Contactez-nous
Mécanisme de règlement des plaintes (anglais)
Mécanisme de réclamation (English)
Mecanismo de reclamación
Search
Formulaire de grief
Veuillez remplir ce formulaire pour compléter votre grief.
Grievance Form
Name
Phone Number
Email Address
Name of Organization
Subgrantee Award Number
Gender
Male
Female
Non-binary
N/A (for organizations or representatives of a community)
Are you a representative submitting this complaint on behalf of the complainant(s)?
Yes
No
If you selected Yes to the previous question, please attach a copy of the representational authority signed by the complainant(s)/members of the community.
Taille max. des fichiers : 2 MB.
Do you consent to have your personal information shared with the World Bank and/or relevant third parties (e.g., contractors) of the project you are complaining about?
Yes
No
If you selected No to the previous question, please elaborate as to why.
Do you fear retaliation for making this complaint?
Yes
No
If you selected Yes to fear of retaliation, please elaborate:
Project Information
Project name
Country
USA? Other?
Project location (Province, city, etc)
The Complaint
Please explain the type of harm you believe the World Bank-supported project has caused or is likely to cause you or your community.
Social
Environmental
Other
Comments
Efforts to Resolve the Complaint
Have you raised your complaint through the project-level grievance mechanism?
Yes
No
What action was taken by the project-level grievance mechanism to resolve the complaint?
How do you wish to see your complaint resolved?
Signature
You may print the form and sign it. Alternatively, you may add a photo of your signature if you prefer.
Taille max. des fichiers : 2 MB.
Date
MM slash JJ slash AAAA
Please attach supporting documents, if available. PAI will not disclose any information that may reveal your identity without your consent.
Taille max. des fichiers : 2 MB.
