New Complaint · Custom Portal

1. Complainant’s information:

Name

Phone Number (Country Code-Number)

Email Address

Address

Gender

Are you representing your community?

YesNo

If yes, please attach a copy of the representational authority signed by members of the community

Are you requesting confidentiality?

YesNo

Reason for Request for Confidentiality( If yes, explain the reason).

Do you fear risk of Retaliation?

YesNo

2. Project Information

Project Name

Country

Project Location (Province, City, etc.)

3. The Complaint:

Please explain the type of harm you believe the Bank supported project has caused you or is likely to cause you or your community.

Comments

4. Have you sought a resolution through the project grievance mechanism?

if you have documents to support your complaint, please attach. You can attach files in pdf, xls, jpg, zip, audio and video format up to 100 MB in size.

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