IDB Environmental and Social Grievance Protocol Form

Country of Operation *

Operation Number

Operation Name

Operation Sector *

Executing Agency

Alleged incidents of sexual and gender-based violence, including exploitation, abuse, and harassment

Alleged incidents of child or forced labor

Accidents or incidents leading to deaths, severe injuries, or life-threatening situations

Alleged incidents of unplanned or accidental significant impacts on natural resources in critical ecosystems, such as protected areas or key biodiversity areas (KBAs)

Fear of retaliation or threats to health and life of project affected parties, civil society advocates or complainants

Please tell us what happened

What would be a fair resolution?

Personal Information

First Name *

Last Name *

Country of Residence *

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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