110 ANNEX III: COMPLAINT FORM 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. Source: Human Rights Fact Sheet No. 7: Complaint Procedures, UN: www.unhchr.ch