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  • Instructions:  Please provide feedback relating to project planning and/or implementation via the (Stakeholder Consultation Feedback Form ).  Grievance Submission Form is only to be used should a dispute arise based on action (or inaction) resulting from the feedback contained in the Stakeholder Consultation Feedback Submission Form. Thank you!

  • Grievance
    Submission Form

  • Name, Title of Grievor:

  • Organization:

  • Phone:

  •  - -
  • Email:

  •  / /
    Pick a Date
  • If applicable, Indicate Other Interest Group(s):

  • Details of Event Leading to Grievance

  • Date, Time, and Location of Event:

  • Witnesses (if applicable):

  • Account of Event:

  • Violations:

  • Proposed Solution:

  • Clear
  •  - -
    Pick a Date
  • Please retain a copy of this completed form for your records. If you submitted this form through the Zimmfor Management Services Ltd. website, a copy of this form will be emailed to the address provided.

    To ensure the most efficient handling of grievances, and effective responses to them, grievors are encouraged to be:

    • Judicious – please be discerning in the amount of grievances made. For example, if you have similar grievances on multiple topics it is best to combine them.
    • Constructive – please submit a grievance with the aim to reach resolution. For example, propose solutions to the impacts you are experiencing.
  • Should be Empty: