Environmental and Social Grievance Protocol Form

Country of Operation *

Operation Number

Operation Name

Operation Sector *

Executing Agency

Please tell us what happened

What would be a fair resolution?

Personal Information

First Name *

Last Name *

Country of Residence *

Phone *

Email *

Confirm Email *

Affiliations *

If required to resolve the complaint, as determined by the IDB, do you consent to disclose relevant identifying or personal information with relevant third parties, including the executing agency and other relevant government entities? *

Yes

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