Minorities Complaint Form

MUSAWA will keep the identity of the complainant and any information provided by him/her confidential. MUSAWA respects and preserves the complainant’s rights, and commits to handling complaints in a way that serves citizens’ rights and in accordance with the Constitution and the Law.

Contact details complainant:

Full name:

Residence:

Workplace:

Work nature:

Phone number:

Email address:

ID #:

Contact details victim:

Full name:

Residence:

ID #:

Date of birth:

Gender:

Male

Female

Marital status:

Workplace:

Work nature:

Phone number:

Email address:

Contact details defendant:

Full name:

Address:

Occupation:

Type and nature of complaint:

Date of arrest? Time of arrest? Location of arrest? Duration of arrest?

Were you informed of the reason behind your arrest? What is the reason?

How were you arrested and what kind of language was used to address you?

When were you interrogated? Where? By whom? How long did it take? In the presence of whom?

Describe how the arrest happened.

Was the arrest supported by a summon or a subpoena?

Who are the people that arrested you? Were they dressed as civilians or military personnel? Did they inform you of their identity and job titles? To which party do they belong?

Were you assaulted (physical)/abused during the period of your arrest? What kind of assault was it?

Were you provided with the necessary health examinations? When? By whom?

Were you referred to the Public Prosecution or any other competent judicial authority? Who is this authority? Date and day of referral? What time? What measures did this authority take against you?

Where were you arrested or detained? Describe to us the place where the arrest took place?

Was it stated to you that you have the right to remain silent?

Was the arrest accompanied with a personal search or an inspection of your residence or workplace? How was the inspection conducted? Who did it, and in the presence of whom was it done?

Was the arrest incident documented in writing? Did you sign on it?

Were the seizures documented in writing and in detail?

Were your clothes, house, car, or the location of arrest tampered with? Describe.

Did you file a case or a complaint regarding your arrest?

Did you file a complaint to any institution, and were any measures taken? What are these measures? What was the result?

Were you allowed to hire, contact, or be visited by a lawyer? Did the visit happen in private?

Were you allowed to contact your parents?

Is there anything else you would like to add?

What is the name of the person or authority that deprived you of your liberty? What is their status?

Place of detention? Time? Duration? Reason behind detention?

Describe the place of detention and the way you were dealt with during the detention period?

Did you take any legal or judicial proceedings against the person or authority that deprived you of your liberty? What are these proceedings? What were the results?

Did you turn to any institution regarding the deprivation of your freedom? What was the measure taken by that party?

Is there anything else you would like to add?

Date and subject of the decision/judgment?

If the decision/judgment is related to a release on bail, were any charges, other than those you were arrested for, pressed against you? Or was a judgment of arrest issued for any other reason?

Who is the person or authority that refused to fulfill the judicial decision/judgment?

Were you informed of the reason behind not fulfilling the judicial decision/judgment? Mention the reason.

Do you have a lawyer?

Were you caused any harm as a result to the non-fulfillment? Of what nature is that harm/damage? Did you sue them for damages?

Did you address the Supreme Court of Justice with a lawsuit for declining or obstructing the fulfillment of the decision/judgment in question?

Did you file a criminal complaint against the person/authority that obstructed the fulfillment of the decision/judgment to the Public Prosecution?

Is there anything else you would like to add?

Were you denied the right to hire a lawyer?

Has your lawyer been given the chance to present the evidence in court?

Were you given the chance to debate with the defense witnesses or the opponent?

Were you treated on an equal basis with your opponent?

Describe the method used in managing the case and dealing with its parties.

Describe the way of dealing with the witnesses or experts.

How long did the procedures take? Does this include court proceedings?

Were you able to appeal against the decision or judgment?

Are you satisfied with your lawyer’s work? Mention any remarks on his/her work, if any.

Are you satisfied with the work of those responsible for interrogation and trial? Mention your remarks, if any.

Were you addressed using a language you understand?

If the case is of a criminal nature, were you allowed to contact your lawyer when or after you were arrested? When was the contact between your lawyer and yourself made? Were you informed about your right to hire and contact a lawyer? And that you have the right to remain silent?

Were you allowed a visit by your parents?

Was your lawyer able to sit with you in private?

Was your lawyer able to get your signature on his/her attorney ship/authorization?

During your arrest, were you treated in a way that violated your dignity? Describe.

Was your lawyer able to attend your interrogation sessions?

Were you or your lawyer allowed access to minutes of interrogation sessions and statements by witnesses?

Was your lawyer able to represent you before court in all its sessions?

Were you informed, prior to your interrogation, of the nature of the charges pressed against you?

Were you exposed to any kind of pressure, compulsion, torture, hitting, or insult? Describe.

Did you inform the Public Prosecution or the court about you being exposed to pressure, compulsion, torture, or insult?

Were you physically checked by the Public Prosecution or the court?

Were you referred to a specialized doctor?

Were you given a medical report on your health condition? Was the report attached to the case file?

Were you transferred to court or did you enter the court handcuffed, hooded, or in a special uniform?

Is there anything else you would like to add?

What is your job title?

What is the date of your employment?

What level/grade is your position?

What is the location of your work?

What authorities do you have?

Who is your supervisor?

What is the nature of the action taken against you?

What party (who) took that action?

What date was the action taken against you?

What date were you informed about the action taken against you? How were you informed about it? (If written, please attach it. If it was said to you verbally, explain it).

Did you complain against the action taken against you? When? Attach the complaint if it was in writing.

What decision was made by the party that received your complaint? When were you informed about the decision? What was the reporting mechanism? If written, attach it. If verbal, explain it.

Were you referred to an internal investigation commission? Whom does the commission include? What are the job descriptions of its members? Is there any kind of disagreement/controversy between you and any of its members? Did you appear before it? Were the procedures documented in writing? Were you able to present your defenses, witnesses, and evidence before it? Did the commission attach the information to the investigation file and hear the witnesses? Did it issue a decision or a recommendation? When? If written, attach it. If verbal, explain it. Were you able to examine the witnesses? Did you see and give your opinion regarding the written documentation? Was your opinion recorded in the investigation record/minutes?

When did the investigation commission issue its decision? What was the decision? When did you receive it? How did you receive it? Was it implemented?

Did you take any measures regarding the complained-of action?

Did you go to the High Court of Justice or any other court?

Did you hire a lawyer? What recommendations did they have for you?

Did you turn to a Civil Society Organization or any other competent organizations? What measures did they take? What was the result?

Was your salary held?

Was your authority reduced?

Is there anything else you would like to add?

Is the complaint directed against an employee at a public institution, private sector, or Civil Society Organization? Define.

What is the subject of the complaint?

What evidence do you have regarding the complaint’s subject? If there is written evidence, attach it. If you have witness statements, attach them along with the witnesses’ names.

Describe the details you know.

Why do you believe the subject of your complaint represents corruption?

Was the Anti-Corruption Commission informed of this? When?

What actions did the Anti-Corruption Commission take regarding the complaint?

Did you file a complaint anywhere else? What actions did that party take? What were the results?

At the personal level, what did you do about the complaint and how did you handle it?

Is there anything else you would like to add?

The complaint will be handled with strict confidentiality, in accordance with the legal rule stating that the accused is innocent until proven guilty.

What is the nature of your work and social activity?

What is the action taken against you due to your social activity?

The action taken against you includes:

Is there anything else you would like to add?

What is the nature of the complaint?

Subject of complaint?

A brief/summary on the complaint?

Is there anything else you would like to add?

Do you ask MUSAWA to take the appropriate legal action regarding the complaint?

Yes

In case MUSAWA decides to publish the facts of your complaint in its publication “Eye on Justice”, do you mind your name being mentioned or not?

Yes

Are you willing to go to court if the necessary legal action to be taken demands that you do so?

Yes

Attachments:

Please attach the following:

A copy of your ID.*
Any other documents supporting your complaint.

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I, the undersigned, thereby acknowledge and recognize according to all legal considerations that I have officially lodged a complaint to MUSAWA through their electronic website on. Accordingly, I pledge that all the information mentioned in the complaint is true, and thereby I take full responsibility for the contents of this complaint.

Name:

Date: