Bomet: Grievances Management System

Bomet: Grievances Management System Bomet: Grievances Management System Submit a ticket

GRM_GRIEVANCE LODGING FORM

Submit a Support Request

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Name:

Email:

Priority:

Grievance Recording Desk:

Project level

Ward Committee

County Level

Other

Phone:

ID No:

Age:

Gender:

Male

Female

Postal Addres:

Ward:

Village:

Occupation:

Disability:

Yes

Type of disability (If Yes Selected):

Member of Vulnerable/Minority Group:

Yes

Describe (If Yes Selected):

Location where grievance/problem occurred:

Sub County:

Bomet Central

Bomet East

Chepalungu

Sotik

Konoin

Ward:

Location:

Village:

Category of Grievance:

Environmental safeguards, social issues including gender, labor and resettlement

Grievances regarding violations of policies, guidelines and procedures

Grievances regarding contract violations

Grievances regarding the misuse of funds/lack of transparency, or other financial management concerns

Grievances regarding abuse of power/intervention by project or government officials

Grievances regarding staff performance

Reports of force majeure

Suggestions

Appreciation

Brief Description of Grievance or Inquiry: (provide as much detail and facts as possible):

Please include any other information that you consider relevant, other matters or facts, including supporting documents:

Do you request that identity be kept confidential?

Yes

Have you raised your complaint with the grievance mechanism of the County Climate Change Unit (CCU) or the WCCCU?

Yes

If YES, please provide the following: (a) When, how and with whom the issues were raised. (b) Please describe any response received from and/or any actions taken by the CCU level grievance mechanism. Please also explain why the response or actions taken are not satisfactory.

If NO, why not?

Subject:

Message:

Attachments:

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