Guide to International Human Rights Mechanisms - Brookings

model complaint
Go To Part I II III IV V
International Mechanisms | Other Relevant International Mechanisms
Persons wishing to complain
To: Compliance Advisor/Ombudsman
2121 Pennsylvania Avenue, NW
MSN F 11K-1116
Washington, DC 20433
USA
Fax: +1 202 522 7400
E-mail: cao-compliance@ifc.org
I/we ___________________________________________________________lodge a complaint
concerning the ____________________________________project. This complaint is made on behalf
of ___________________________________________ (ignore if not applicable).
I/we live in the area known as_____________________________________________
(shown on the attached map). I/we can be contacted through the following address, telephone and
fax numbers, and e-mail:
I/we do not wish our identity(ies) to be disclosed. (Ignore if not applicable).
The basis of the complaint is as follows:
A description of the name, location and nature of the project is as follows:
IFC or MIGA is involved with the project (as applicable):
The project sponsor is:
I/we have been, or are likely to be affected by social or environmental impacts of the project in the
following way(s):
The following action has been taken by me/us to try to resolve these issues:
The name of any contact person(s) at IFC or MIGA are:
I/we have had contact with the following other person(s) in attempting to resolve these issues: (where
possible, please attach copies of correspondence)
The following are details of policies, guidelines or procedures of IFC or MIGA that have not been
complied with: (include this information only if you wish or are able to)
I/we would like to see this complaint resolved in the following way: (the CAO cannot guarantee to
help the complainant achieve this result, but this information will help to focus problem solving
approaches)
Any other relevant facts to support this complaint are:
Attach copies of any relevant documents and other material.
Signature(s): Date:
Guide to International Human Rights Mechanisms
for Internally Displaced Persons and their Advocates 1