Stakeholder Grievance Form
Tell The Cocoa Circle about any harm, risk or unfair treatment connected to our business, our products or our supply chain. Only "What happened?" is required, and you may stay anonymous. We acknowledge every grievance within 5 working days and send a written response within 30 working days. We do not accept any retaliation against anyone who raises a concern in good faith. For questions about an order, delivery or refund, please contact customercare@cocoacircle.com
Do you want to stay anonymous?
*
Yes
No
Full Name
First Name
Last Name
Organisation, cooperative or community
Email
example@example.com
Country
Your relationship to The Cocoa Circle
Please Select
Cocoa farmer, cooperative member or farm worker
Supplier, co-packer or manufacturing partner
Sourcing or project partner
Retailer, distributor or business customer
Consumer
Community member or representative
Non-governmental organisation, trade union or civil society group
Other
Type of concern (Select all that apply)
Human rights or labour conditions
Child labour or forced labour
Health and safety
Environmental harm
Misleading sustainability, social or product claim
Product safety
Bribery, corruption, fraud or unfair business practice
Personal data or privacy
Harassment or misconduct
Retaliation for raising a concern
Other
Account of Event - What happened?
Please provide a detailed information. Include the names of persons involved.
Witnesses (if applicable)
Where and when did it happen?
Country, region, site, farm or cooperative, and the date if you know it.
Violations
Is anyone at risk of serious harm right now?
Yes
No
Not sure
Attach additional documents if needed
Browse Files
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Choose a file
Photos, documents or messages that support your concern.
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*Your signature below indicates that the information you have provided above is truthful.
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