114 Annex V: Complaints to international financial institutions Suggested format for a petition to the World Bank Inspection Panel To: Executive Secretary The Inspection Panel 1818 H Street NW, Washington DC 20433 USA Fax no. +1 202 522 0916 or c/o the appropriate World Bank country office 1.We [insert names] live and/or represent others who live in the area known as [insert name of area]. Our addresses are attached. 2. We have suffered, or are likely to suffer, harm as a result of the World Bank's failures or omissions in the [insert name and/or brief description of the project or programme] located in [insert location/country]. 3. [Describe the damage or harm you are suffering or are likely to suffer from the project or programme] 4. [List (if known) the World Bank's operational polices you believe have not been observed] 5.We have complained to World Bank staff on the following occasions [list dates] by [explain how the complaint was made]. We have received no response, [or] we have received a response and we are not satisfied that the explanations and answers solve our problems for the following reasons: 6.We request the Inspection Panel recommend to the World Bank's Executive Directors that an investigation of these matters be carried out. Signatures: Date: