• Current Start
  • Complaint
  • Incident description
  • Proof/Witnesses
  • Response
  • Complete

Complaints Submission Form

This form should be completed by the person wishing to lodge a complaint or by a person who witnessed an incident. All information must be held securely, and confidentiality must be maintained at all times.

A: General data

Personal information

Name Gender Age
We encourage you to give your contact details. Anonymous complaints may be difficult or even impossible to investigate. Our Complaint Handling focal person may need to contact you for clarification or additional information. Your contact details will be handled confidentially and can only be shared with those who need to know when investigating the complaint.
Gender Age
1.1 Gender *
1.2 Age *

2. Contact information

Telephone email
3. Telephone

Incident Information

Person's name, date and time of incident
Day, Month Year – Hour: Minutes (provide the exact time of the incident if known).

Example: Friday, 1 February 2023 - at 11:06 a.m.
Incident details
6. Context of the incident*
Where did the misconduct occur (tick the box, multiple choices are possible):
If none of the options listed represents the context in which the incident occurred, please describe it here.
Please provide the place (town, city and country) of the incident. Complaints of incidents without an exact location may be difficult or even impossible to investigate. Information will be handled confidentially and it will only be shared with those who need to know when investigating the complaint.
Day, Month Year – Hour: Minutes (provide the exact time of the incident if known).

Example: Friday, 1 February 2023 - at 11:06 a.m.