Grievance / Complaint Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.UNIPOD Grievance / Complaint Form UNIPOD Rwanda is committed to fairness, accountability, and continuous improvement. Use this form to report a complaint or grievance. All submissions are taken seriously, recorded, reviewed, and handled confidentially. Fields marked with * are required. SECTION 1: COMPLAINANT INFORMATION Full NameEmail AddressPhone NumberAddress / LocationPreferred Method of CommunicationPhoneEmailSMSIn-personOtherIf Other, please specifyWould you like your identity to remain confidential? *YesNoIf yes, we will limit who can see your personal details during the review. SECTION 2: COMPLAINT DETAILS Type of Complaint (select all that apply) *Service deliveryStaff conductDiscrimination or unfair treatmentDelay in servicePayment / financial issueAbuse, harassment, or misconductData privacy / confidentialityProject implementation issueOtherIf Other, please specifyDate of IncidentLocation of IncidentPlease describe the complaint *Who was involved?Were there any witnesses?YesNoIf yes, please provide witness details SECTION 3: EVIDENCE OR SUPPORTING DOCUMENTS Do you have any supporting documents or evidence?YesNoType of evidencePhotosEmailsSMS / WhatsApp messagesReceipts / payment proofReportsOtherUpload your evidence Click or drag files to this area to upload. You can upload up to 5 files. Accepted: PDF, Word, images, audio/video. Up to 5 files. SECTION 4: DESIRED RESOLUTION What action would you like to be taken? *DECLARATION I confirm that the information provided above is true and accurate to the best of my knowledge. Declaration *I confirm the information provided is true and accurate.Submit Grievance