complaint form

Republic of Kosovo
Office of the Disciplinary Counsel
Registration №
Date
COMPLAINT FORM
Dear Complainant,
Our commitment is to ensure performance of judicial and prosecutorial functions in the Republic of Kosovo in
the most decent and lawful manner. Please fill out the entire form accurately, trying to follow the instructions
below. Bear in mind that the only purpose of this form is to assist you in completing and submitting your
complaint.
INSTRUCTIONS
1. Write in hand, type or print legibly in ink.
2. Fill all the information required in the respective field.
This form contains optional fields you may fill out but it is not mandatory.
Pay attention to the fields requiring information about the subject of complaint! Bear in mind that the mandate of
the Office of Disciplinary Council (ODC) is to conduct investigations regarding possible misconduct by judges
or prosecutors but not any other staff assigned within the judicial/prosecutorial system of the Republic of
Kosovo.
3. State the facts concerning the alleged judge's/prosecutor’s misconduct very accurately and precisely. This will
help the ODC to identify whether your complaint provides a reasonable basis to believe that the alleged
misconduct may have occurred.
Please note, the ODC does not have any authority to review decisions of judges and prosecutors. This can only be
done within the court/prosecutorial system through regular or extraordinary remedies. If you seek to change the
outcome of your case, discuss this with an attorney without delay.
4. Provide relevant information of witnesses and other persons who have knowledge on occurrence.
5. Attach all available documents that in your opinion prove the statement of facts made within the complaint.
6. Date and sign the application. The ODC will strictly observe all its obligations as to confidentiality.
7. Send your complaint along with all its attachments to the ODC postal address:
Office of Disciplinary Prosecutor
Str. Luan Haradinaj
Former OSCE building, floor 2
10000 Pristina, Kosovo
or e-mail: [email protected]
NOTE: Complaints sent to a wrong address may not be processed.
8. Complaints and attachments will not be returned.
I.
(PERSONAL) INFORMATION of COMPLAINANT
Last Name, First Name/
Name of Legal Entity:
Name of Complainant's
Representative
(Attorney/Manager/Other)
(Optional)
Citizenship/State of company
registration (Optional)
Occupation/Scope of business
(Optional)
Permanent Address
Address for correspondence
Email Address
Telephone Numbers
Home:
Work/Office:
Mobile:
II.
SUBJECT OF COMPLAINT
First and Last name
of
the
Judge/Prosecutor
concerned:
Position/Capacity
Please, tick off the box next to
the position occupied by the
person addressed in your
complaint!
Judge
Basic
Court
Judge
Prosecutor
Court
of
Appeal
Judge
Supreme
Court
Judge
Prosecutor
in Special
Prosecution
Office
(Local)
Prosecutor
in Basic
Prosecution
Office
Prosecutor
in Appellate
Prosecution
Office
Prosecutor
in State
Prosecution
Office
Other
Court/Prosecution
Office, Location
III.
OPTIONAL
If your complaint arises out of a court case, please fill in the relevant information
in the right field below. If not, proceed directly to field IV
INFORMATION ABOUT THE CASE CONCERNED
Case number
Type of case
Civil
Criminal
Family
Labour
Please, tick off the box in front of the right type!
Complainant's involvement in the
above specified case
Please, tick off the right box!
Plaintiff/Petitioner
Defendant/Respondent
Attorney
Current stage of proceedings
Pending
Final decision
Have you complained about the
Yes
Registration
number
of
the
same facts before?
Please, tick off the right box and provide
the requested information!
complaint
number:
and/or
ODC
Case
………………………….
Witness
Other
Appeal
No
Other
IV.
What is your complaint?
Please give details!
V.
INFORMATION ON WITNESSES
(OR OTHERS WHO HAVE KNOWLEDGE OF THE EVENTS DESCRIBED)
1. Name
Contact details
Other relevant information
Name
2. Contact details
Other relevant information
3. Name
Contact details
Other relevant information
VI.
OPTIONAL
LIST OF ATTACHMENTS
1.
2.
3.
VII.
SPECIAL REQUIREMENTS, CONFIDENTIALITY; CONTACT DETAILS; OTHER
The information provided is considered confidential and will be used solely by the ODC
for investigation purposes. It will be disclosed to the concerned judge/prosecutor to the
extent necessary as to ensure the safeguard of the rights and to the bodies competent for
disciplinary issues in Kosovo, which on their behalf are bound to keep the confidentiality.
Please note,
If you have any special requirements as to confidentiality; the disclosure of your name,
contact details; other, please state them here. This will help the ODC to process the
complaint in the most appropriate manner.
I personally/on behalf of the Complainant certify that the allegations and
statements of circumstances set forth above are true and correct to the best of my
knowledge, information, and belief and are made of my own free will.
___________________________
Place and Date
________________________
Signature of Complainant/Representative of Complainant