ANNEXES III. Exhaustion of domestic remedies/Application to other international procedures Steps taken by or on behalf of the alleged victims to obtain redress within the State concerned for the alleged violation – detail which procedures have been pursued, including recourse to the courts and other public authorities, which claims you have made, at which times, and with which outcomes: ………………….. If you have not exhausted these remedies on the basis that their application would be unduly prolonged, that they would not be effective, that they are not available to you, or for any other reason, please explain your reasons in detail: ………………………… Have you submitted the same matter for examination under another procedure of international investigation or settlement (e.g. the Inter-American Commission on Human Rights, the European Court of Human Rights, or the African Commission on Human and Peoples’ Rights)? …………… If so, detail which procedure(s) have been, or are being, pursued, which claims you have made, at which times, and with which outcomes: ………………………… IV. Facts of the complaint Detail, in chronological order, the facts and circumstances of the alleged violations. Include all matters which may be relevant to the assessment and consideration of your particular case. Please explain how you consider that the facts and circumstances described violate your rights. …………………………. …………………………. …………………………. Author’s signature: ………… [The blanks under the various sections of this model communication simply indicate where your responses are required. You should take as much space as you need to set out your responses.] V. Checklist of supporting documentation (copies, not originals, to be enclosed with your complaint): - Written authorization to act (if you are bringing the complaint on behalf of another person and are not otherwise justifying the absence of specific authorization): …….. - Decisions of domestic courts and authorities on your claim (a copy of the relevant national legislation is also helpful): …….. - Complaints to and decisions by any other procedure of international investigation or settlement: …….. - Any documentation or other corroborating evidence you possess that substantiates your description in Part IV of the facts of your claim and/or your argument that the facts described amount to a violation of your rights: …..… If you do not enclose this information and it needs to be sought specifically from you, or if accompanying documentation is not provided in the working languages of the Secretariat, the consideration of your complaint may be delayed. 43 ICERD & CERD: A GUIDE FOR CIVIL SOCIETY ACTORS