Subject: *
Date: *
Name: *
Organization: *
Address: *
Contact Number: *
Email: *
Your complaint is in relation to: * A project funded by the Belize FundThe Belize Fund's operations
Description of the complaint: *
Belize Fund personnel associated with the complaint (if applicable):
If you wish to attach means of verification to support your claim, please attach photos, documents or other documentation that you feel is relevant.
Do you want the resolution of your complaint to be made public?: * YesNo
